Provider Demographics
NPI:1801332820
Name:TRIANA, NINETTE
Entity type:Individual
Prefix:
First Name:NINETTE
Middle Name:
Last Name:TRIANA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:NINETTE
Other - Middle Name:
Other - Last Name:TRIANA PRADA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3195 50TH ST SW
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34116-8139
Mailing Address - Country:US
Mailing Address - Phone:239-228-0386
Mailing Address - Fax:
Practice Address - Street 1:708 GOODLETTE-FRANK RD N STE 1
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5644
Practice Address - Country:US
Practice Address - Phone:239-351-0675
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-14
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst