Provider Demographics
NPI:1235945486
Name:DARBOYS CAMARAZA, ANA LEIDA
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:LEIDA
Last Name:DARBOYS CAMARAZA
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 1:23681 SW 118TH PL
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33032-3374
Mailing Address - Country:US
Mailing Address - Phone:786-287-6475
Mailing Address - Fax:
Practice Address - Street 1:23681 SW 118TH PL
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33032-3374
Practice Address - Country:US
Practice Address - Phone:786-287-6475
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-03
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-24-376314106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician