Basic Information
| Provider Information | |||||||||
| NPI: | 1386189900 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | TRIANA OCHOA | ||||||||
| FirstName: | CATALINA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10885 NW 50TH ST APT 307 | ||||||||
| Address2: | |||||||||
| City: | DORAL | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331783979 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3053014360 | ||||||||
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| Practice Location | |||||||||
| Address1: | 10300 SW 72ND ST STE 114 | ||||||||
| Address2: | |||||||||
| City: | MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331733038 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3055085580 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/05/2017 | ||||||||
| LastUpdateDate: | 06/23/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/23/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103K00000X | 12148513 | FL | Y | Behavioral Health & Social Service Providers | Behavioral Analyst | 106E00000X | 01910398 | FL | N |
No ID Information.