MEDICARE: ANA MARIA ANTEQUERA BARRIOS.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106E00000X	Assistant Behavior Analyst	0-24-15648	FL
2	106S00000X	Behavior Technician	RBT-22-243149	FL
3	103K00000X	Behavior Analyst	1-25-84830	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518675396
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANA MARIA ANTEQUERA BARRIOS.

Provider Business Mailing Address
First Line	:	1107 WOODCREST RD W
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33417-5726
Country	:	US
Telephone Number	:	561-329-2919
Fax Number	:

Provider Business Practice Location Address
First Line	:	1107 WOODCREST RD W
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33417-5726
Country	:	US
Telephone Number	:	561-329-2919
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/09/2022
Last Update Date	:	04/24/2026

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