Provider Demographics
NPI:1942916358
Name:AGUILAR, ANA LIDIA
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:LIDIA
Last Name:AGUILAR
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 1:623 ARLINGTON DR
Mailing Address - Street 2:
Mailing Address - City:LIBERAL
Mailing Address - State:KS
Mailing Address - Zip Code:67901-4402
Mailing Address - Country:US
Mailing Address - Phone:620-655-4797
Mailing Address - Fax:
Practice Address - Street 1:623 ARLINGTON DR
Practice Address - Street 2:
Practice Address - City:LIBERAL
Practice Address - State:KS
Practice Address - Zip Code:67901-4402
Practice Address - Country:US
Practice Address - Phone:620-655-4797
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-30
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician