Provider Demographics
NPI:1376357327
Name:ECTRIS CO
Entity type:Organization
Organization Name:ECTRIS CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VD
Authorized Official - Prefix:
Authorized Official - First Name:KATIA
Authorized Official - Middle Name:E
Authorized Official - Last Name:IBARRA SOLLANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-916-9789
Mailing Address - Street 1:15452 SW 146TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33196-4628
Mailing Address - Country:US
Mailing Address - Phone:305-916-9789
Mailing Address - Fax:
Practice Address - Street 1:15452 SW 146TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33196-4628
Practice Address - Country:US
Practice Address - Phone:305-916-9789
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-01
Last Update Date:2025-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty