Individual
ANA CENTENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8360 TAFT ST, PEMBROKE PINES, FL 33024-4937
(786) 372-5412
Mailing address
8360 TAFT ST, PEMBROKE PINES, FL 33024-4937
(786) 372-5412
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-124554
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112817900
—
FL
Enumeration date
02/01/2022
Last updated
02/01/2022
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