Provider Demographics
NPI:1245114404
Name:FAURA ONA, ANA MARY
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:MARY
Last Name:FAURA ONA
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 1:13248 SW 277TH TER
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33032-8500
Mailing Address - Country:US
Mailing Address - Phone:786-212-3959
Mailing Address - Fax:
Practice Address - Street 1:13248 SW 277TH TER
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33032-8500
Practice Address - Country:US
Practice Address - Phone:786-212-3959
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-01
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician