Healthcare Provider Details

I. General information

NPI: 1588495550
Provider Name (Legal Business Name): MARIA PAULA PINZON BCABA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2024
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 N SEMORAN BLVD STE 200
ORLANDO FL
32807-3567
US

IV. Provider business mailing address

11112 TAEDA DR
ORLANDO FL
32832-7011
US

V. Phone/Fax

Practice location:
  • Phone: 321-890-4038
  • Fax:
Mailing address:
  • Phone: 321-986-9385
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number0-26-17263
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: