Provider Demographics
NPI:1982192472
Name:PADRON LLANES, ANADARIS
Entity type:Individual
Prefix:
First Name:ANADARIS
Middle Name:
Last Name:PADRON LLANES
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 1:3940 NW 79TH AVE APT 715
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33166-6687
Mailing Address - Country:US
Mailing Address - Phone:786-226-5377
Mailing Address - Fax:
Practice Address - Street 1:3940 NW 79TH AVE APT 715
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-6687
Practice Address - Country:US
Practice Address - Phone:786-226-5377
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-30
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst