Provider Demographics
NPI:1699233437
Name:HIDALGO, ANA HELENA (BCBA)
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:HELENA
Last Name:HIDALGO
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11909 SW 12TH ST APT 11909
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33025-3764
Mailing Address - Country:US
Mailing Address - Phone:954-882-9220
Mailing Address - Fax:
Practice Address - Street 1:11909 SW 12TH ST APT 11909
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33025-3764
Practice Address - Country:US
Practice Address - Phone:954-882-9220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-12
Last Update Date:2024-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106S00000X
FL1-24-73127103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician