Provider Demographics
NPI:1750832481
Name:OSPINA, ANA MARIA
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:MARIA
Last Name:OSPINA
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 1:10311 NW 58TH ST
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33178-2819
Mailing Address - Country:US
Mailing Address - Phone:786-476-5155
Mailing Address - Fax:
Practice Address - Street 1:6055 NW 104TH AVE
Practice Address - Street 2:2
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33178-3317
Practice Address - Country:US
Practice Address - Phone:786-476-5155
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-18
Last Update Date:2020-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst