Healthcare Provider Details

I. General information

NPI: 1609170489
Provider Name (Legal Business Name): ANA ESCALONA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/07/2011
Last Update Date: 09/12/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10700 CARIBBEAN BLVD STE 101
CUTLER BAY FL
33189
US

IV. Provider business mailing address

9800 HAITIAN DR
CUTLER BAY FL
33189-1612
US

V. Phone/Fax

Practice location:
  • Phone: 786-713-0158
  • Fax:
Mailing address:
  • Phone: 786-302-5303
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH8519
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: