Provider Demographics
NPI:1881569788
Name:ARIAS LA ROSA, ARIADNA
Entity type:Individual
Prefix:
First Name:ARIADNA
Middle Name:
Last Name:ARIAS LA ROSA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17710 NW 67TH AVE APT 322
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-5808
Mailing Address - Country:US
Mailing Address - Phone:305-797-4491
Mailing Address - Fax:
Practice Address - Street 1:17710 NW 67TH AVE APT 322
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33015-5808
Practice Address - Country:US
Practice Address - Phone:305-797-4491
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-09
Last Update Date:2025-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-25-479230106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician