Provider Demographics
NPI:1053921676
Name:RODRIGUEZ BELLO, ANA ROSA
Entity type:Individual
Prefix:MRS
First Name:ANA
Middle Name:ROSA
Last Name:RODRIGUEZ BELLO
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 1:6880 ABBOTT AVE APT 403
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33141-3812
Mailing Address - Country:US
Mailing Address - Phone:786-696-8085
Mailing Address - Fax:
Practice Address - Street 1:6880 ABBOTT AVE APT 403
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33141-3812
Practice Address - Country:US
Practice Address - Phone:786-696-8085
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-07
Last Update Date:2020-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-20-119745106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician