Provider Demographics
NPI:1780480111
Name:ZAMORANO PASOS, ELIANA
Entity type:Individual
Prefix:
First Name:ELIANA
Middle Name:
Last Name:ZAMORANO PASOS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11296 SW 234TH TER
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33032-6271
Mailing Address - Country:US
Mailing Address - Phone:305-495-1373
Mailing Address - Fax:
Practice Address - Street 1:11296 SW 234TH TER
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33032-6271
Practice Address - Country:US
Practice Address - Phone:305-495-1373
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-24-389980106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty