Provider Demographics
NPI:1023839537
Name:ARES CONCEPCION, ANA BEATRIZ
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:BEATRIZ
Last Name:ARES CONCEPCION
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 1:3595 W 10TH AVE APT 109
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-5182
Mailing Address - Country:US
Mailing Address - Phone:786-724-6270
Mailing Address - Fax:
Practice Address - Street 1:3595 W 10TH AVE APT 109
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-5182
Practice Address - Country:US
Practice Address - Phone:786-724-6270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-18
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-24-334467106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician