Provider Demographics
NPI:1023765617
Name:ESTRADA, ANA LUISA (BCBA-D)
Entity type:Individual
Prefix:DR
First Name:ANA
Middle Name:LUISA
Last Name:ESTRADA
Suffix:
Gender:F
Credentials:BCBA-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8553 NW 110TH PL
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33178-5259
Mailing Address - Country:US
Mailing Address - Phone:786-863-6261
Mailing Address - Fax:
Practice Address - Street 1:8553 NW 110TH PL
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33178-5259
Practice Address - Country:US
Practice Address - Phone:786-863-6261
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-03
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty