Individual
ANA M LASTRES DORTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12401 SW 195TH TER, MIAMI, FL 33177-6506
(786) 350-5819
Mailing address
1380 NW 32ND PL, MIAMI, FL 33125-1852
(786) 350-5819
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-73988
FL
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
07/16/2019
Last updated
03/16/2026
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