Provider Demographics
NPI:1366190514
Name:ARENGAS ROJAS, TATIANA JANETH
Entity type:Individual
Prefix:
First Name:TATIANA
Middle Name:JANETH
Last Name:ARENGAS ROJAS
Suffix:
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 1:15867 SW 16TH ST
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33027-2367
Mailing Address - Country:US
Mailing Address - Phone:786-376-7088
Mailing Address - Fax:
Practice Address - Street 1:2451 GREENBRIER CT
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33327-1440
Practice Address - Country:US
Practice Address - Phone:786-376-7088
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-16
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X
FL1-24-71090103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst