Provider Demographics
NPI:1346066081
Name:ROA ZAPATA, ANA FRANGELA I
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:FRANGELA
Last Name:ROA ZAPATA
Suffix:I
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1816 NW 25TH TER
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33311-4532
Mailing Address - Country:US
Mailing Address - Phone:954-498-5633
Mailing Address - Fax:
Practice Address - Street 1:1816 NW 25TH TER
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33311-4532
Practice Address - Country:US
Practice Address - Phone:954-498-5633
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-26
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst