Healthcare Provider Details

I. General information

NPI: 1578361135
Provider Name (Legal Business Name): BRIANNA LYNNE CIPRIANI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2025
Last Update Date: 03/07/2025
Certification Date: 02/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 PRIMERA BLVD STE 160
LAKE MARY FL
32746-2168
US

IV. Provider business mailing address

822 MT PLEASANT DR
OCOEE FL
34761-3375
US

V. Phone/Fax

Practice location:
  • Phone: 407-995-6106
  • Fax:
Mailing address:
  • Phone: 317-696-8940
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: