Healthcare Provider Details

I. General information

NPI: 1215781034
Provider Name (Legal Business Name): ANA ELENA MEJIAS MORELL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/17/2024
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3645 NW 36TH ST APT 634
MIAMI FL
33142-4984
US

IV. Provider business mailing address

3645 NW 36TH ST APT 634
MIAMI FL
33142-4984
US

V. Phone/Fax

Practice location:
  • Phone: 786-487-7373
  • Fax:
Mailing address:
  • Phone: 786-487-7373
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-24-334390
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: