Provider Demographics
NPI:1659123420
Name:PERERA PINTADO, ANA CELIA
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:CELIA
Last Name:PERERA PINTADO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6045 NW 37TH ST APT 204W
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33166-7067
Mailing Address - Country:US
Mailing Address - Phone:305-896-9214
Mailing Address - Fax:
Practice Address - Street 1:6045 NW 37TH ST
Practice Address - Street 2:
Practice Address - City:VIRGINIA GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33166-7086
Practice Address - Country:US
Practice Address - Phone:305-896-9214
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-03
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst