Provider Demographics
NPI:1750197372
Name:PEDRAZA, ANA LEIDY (RBT)
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:LEIDY
Last Name:PEDRAZA
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6509 RUNNINGWOODS DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33634-4721
Mailing Address - Country:US
Mailing Address - Phone:813-309-2134
Mailing Address - Fax:
Practice Address - Street 1:6509 RUNNINGWOODS DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33634-4721
Practice Address - Country:US
Practice Address - Phone:813-309-2134
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-09
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst