Healthcare Provider Details

I. General information

NPI: 1356205819
Provider Name (Legal Business Name): ORIANA BAUTISTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 12/10/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8000 N FEDERAL HWY STE 207
BOCA RATON FL
33487-1681
US

IV. Provider business mailing address

8000 N FEDERAL HWY STE 207
BOCA RATON FL
33487-1681
US

V. Phone/Fax

Practice location:
  • Phone: 561-352-1447
  • Fax: 561-431-2362
Mailing address:
  • Phone: 561-352-1447
  • Fax: 561-431-2362

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-25-480535
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: