Healthcare Provider Details

I. General information

NPI: 1811680580
Provider Name (Legal Business Name): ANA DIAZ BARREIRO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/30/2023
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2151 45TH ST
WEST PALM BEACH FL
33407-2026
US

IV. Provider business mailing address

12168 54TH ST N
WEST PALM BEACH FL
33411-8510
US

V. Phone/Fax

Practice location:
  • Phone: 561-567-2397
  • Fax:
Mailing address:
  • Phone: 561-525-5417
  • 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 Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: