Provider Demographics
NPI:1235006131
Name:PALACIO, ANA HILDA
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:HILDA
Last Name:PALACIO
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 1:5900 NW 6TH AVE APT 312
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33127-1185
Mailing Address - Country:US
Mailing Address - Phone:786-684-8683
Mailing Address - Fax:786-684-8683
Practice Address - Street 1:5900 NW 6TH AVE APT 312
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33127-1185
Practice Address - Country:US
Practice Address - Phone:786-684-8683
Practice Address - Fax:786-684-8683
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-23
Last Update Date:2025-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-25-484272106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician