Healthcare Provider Details

I. General information

NPI: 1134666415
Provider Name (Legal Business Name): ANA ELISA ZUNIGA PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/25/2017
Last Update Date: 05/22/2025
Certification Date: 05/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5400 S UNIVERSITY DR STE 308
DAVIE FL
33328-5310
US

IV. Provider business mailing address

5400 S UNIVERSITY DR STE 308
DAVIE FL
33328-5310
US

V. Phone/Fax

Practice location:
  • Phone: 978-378-5381
  • Fax: 978-378-5381
Mailing address:
  • Phone: 954-378-5381
  • Fax: 954-378-5381

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY12651
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: