Healthcare Provider Details

I. General information

NPI: 1386189900
Provider Name (Legal Business Name): CATALINA TRIANA OCHOA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/05/2017
Last Update Date: 08/19/2024
Certification Date: 08/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4620 N STATE ROAD 7 STE 300
LAUDERDALE LAKES FL
33319-5867
US

IV. Provider business mailing address

8123 NW 107TH PATH
DORAL FL
33178-6054
US

V. Phone/Fax

Practice location:
  • Phone: 877-535-7888
  • Fax:
Mailing address:
  • Phone: 305-301-4360
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number01910398
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number12148513
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: