Healthcare Provider Details

I. General information

NPI: 1427846740
Provider Name (Legal Business Name): ARIANNA BOUZY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2025
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4727 W IRLO BRONSON MEMORIAL HWY
KISSIMMEE FL
34746-5326
US

IV. Provider business mailing address

3280 OVERSTREET E APT 208
KISSIMMEE FL
34747-1297
US

V. Phone/Fax

Practice location:
  • Phone: 407-978-6085
  • Fax:
Mailing address:
  • Phone: 978-401-6468
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: