Healthcare Provider Details

I. General information

NPI: 1427808823
Provider Name (Legal Business Name): CHAYANNE BATLLE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/26/2024
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2190 GOLDEN GATE BLVD W
NAPLES FL
34120-1858
US

IV. Provider business mailing address

2190 GOLDEN GATE BLVD W
NAPLES FL
34120-1858
US

V. Phone/Fax

Practice location:
  • Phone: 786-778-7682
  • Fax:
Mailing address:
  • Phone: 786-778-7682
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-24-335902
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: