Healthcare Provider Details

I. General information

NPI: 1306576475
Provider Name (Legal Business Name): MARIA NADOLNI RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/13/2022
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3282 GREENWALD WAY N
KISSIMMEE FL
34741-0728
US

IV. Provider business mailing address

3282 GREENWALD WAY N
KISSIMMEE FL
34741-0728
US

V. Phone/Fax

Practice location:
  • Phone: 321-355-3904
  • Fax: 407-255-6429
Mailing address:
  • Phone: 321-355-3904
  • Fax: 407-255-6429

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-22-218958
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: