Provider Demographics
NPI:1356177539
Name:FEBLES, ANA CELIA
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:CELIA
Last Name:FEBLES
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 1:7025 PIN CHERRY LN
Mailing Address - Street 2:
Mailing Address - City:PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34668-6828
Mailing Address - Country:US
Mailing Address - Phone:863-612-8960
Mailing Address - Fax:
Practice Address - Street 1:7025 PIN CHERRY LN
Practice Address - Street 2:
Practice Address - City:PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34668-6828
Practice Address - Country:US
Practice Address - Phone:863-612-8960
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-12
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-24-375260106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician