Provider Demographics
NPI:1447841101
Name:FERRAS, ANA ESTHER
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:ESTHER
Last Name:FERRAS
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 1:403 NW 72ND AVE APT 318
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-5816
Mailing Address - Country:US
Mailing Address - Phone:786-597-2230
Mailing Address - Fax:
Practice Address - Street 1:403 NW 72ND AVE APT 318
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-5816
Practice Address - Country:US
Practice Address - Phone:786-597-2230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-26
Last Update Date:2021-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL20-122163106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL108749600Medicaid