Healthcare Provider Details

I. General information

NPI: 1578243309
Provider Name (Legal Business Name): ANA CARIDAD SERRANO PATTEN BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/18/2023
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 SW 57TH AVE APT 432
WEST MIAMI FL
33144-5090
US

IV. Provider business mailing address

950 SW 57TH AVE APT 432
WEST MIAMI FL
33144-5090
US

V. Phone/Fax

Practice location:
  • Phone: 832-989-8273
  • Fax:
Mailing address:
  • Phone: 832-989-8273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number12366239
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number5962
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: