Individual
ANELL BEATRIZ FUNDORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4236 W 16TH AVE, HIALEAH, FL 33012-7624
(786) 409-2646
(786) 953-6553
Mailing address
8828 NW 112TH TER, HIALEAH GARDENS, FL 33018-4534
(305) 680-9629
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
235Z00000X
Speech-Language Pathologist
Primary
SA21154
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104678700
—
FL
Enumeration date
01/06/2020
Last updated
01/06/2026
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