Provider Demographics
NPI:1639850969
Name:AMESTOY CABALLERO, ANA I (BCBA)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:I
Last Name:AMESTOY CABALLERO
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14005 SW 10TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33184-3056
Mailing Address - Country:US
Mailing Address - Phone:786-617-4978
Mailing Address - Fax:
Practice Address - Street 1:14005 SW 10TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33184-3056
Practice Address - Country:US
Practice Address - Phone:786-617-4978
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-28
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL12367162103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst