Healthcare Provider Details

I. General information

NPI: 1720919152
Provider Name (Legal Business Name): ANA B HERRERA BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2513 TILLMAN ST
MONROE NC
28112-7040
US

IV. Provider business mailing address

2513 TILLMAN ST
MONROE NC
28112-7040
US

V. Phone/Fax

Practice location:
  • Phone: 786-879-5993
  • Fax:
Mailing address:
  • Phone: 786-879-5993
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-25-84842
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: