Healthcare Provider Details

I. General information

NPI: 1649509001
Provider Name (Legal Business Name): CHRISTINE A BISCARDI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2009
Last Update Date: 02/10/2022
Certification Date: 02/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5050 TAMIAMI TRL N STE B
NAPLES FL
34103-2853
US

IV. Provider business mailing address

6886 IL REGALO CIR
NAPLES FL
34109-6807
US

V. Phone/Fax

Practice location:
  • Phone: 239-293-7387
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-15-20615
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: