Provider Demographics
NPI:1891104840
Name:ONA, TANIA
Entity Type:Individual
Prefix:
First Name:TANIA
Middle Name:
Last Name:ONA
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 1:7515 SW 30TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-2747
Mailing Address - Country:US
Mailing Address - Phone:786-443-0106
Mailing Address - Fax:786-294-0011
Practice Address - Street 1:7515 SW 30TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-2747
Practice Address - Country:US
Practice Address - Phone:786-443-0106
Practice Address - Fax:786-294-0011
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-04
Last Update Date:2016-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPHMC 1321103K00000X
253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No253Z00000XAgenciesIn Home Supportive Care