Provider Demographics
NPI:1255194635
Name:CORONA, ANA DAVILA (BCBA)
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:DAVILA
Last Name:CORONA
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11331 VERDI LN
Mailing Address - Street 2:
Mailing Address - City:PORTER RANCH
Mailing Address - State:CA
Mailing Address - Zip Code:91326-4311
Mailing Address - Country:US
Mailing Address - Phone:818-521-0648
Mailing Address - Fax:
Practice Address - Street 1:11331 VERDI LN
Practice Address - Street 2:
Practice Address - City:PORTER RANCH
Practice Address - State:CA
Practice Address - Zip Code:91326-4311
Practice Address - Country:US
Practice Address - Phone:818-521-0648
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-30
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-23-64022103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst