Healthcare Provider Details

I. General information

NPI: 1235041898
Provider Name (Legal Business Name): PAULA OCHOA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1825 MAIN ST STE 26
WESTON FL
33326-3683
US

IV. Provider business mailing address

3699 W 12TH AVE APT 65
HIALEAH FL
33012-4911
US

V. Phone/Fax

Practice location:
  • Phone: 561-618-5499
  • Fax:
Mailing address:
  • Phone: 786-273-0449
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberO200660028250
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: