Healthcare Provider Details

I. General information

NPI: 1144787771
Provider Name (Legal Business Name): ADRIANA HOWZE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/01/2019
Last Update Date: 03/03/2024
Certification Date: 03/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4935 MAKENNA CIR
PACE FL
32571-1175
US

IV. Provider business mailing address

4935 MAKENNA CIR
PACE FL
32571-1175
US

V. Phone/Fax

Practice location:
  • Phone: 850-503-0805
  • Fax: 805-253-1815
Mailing address:
  • Phone: 850-503-0805
  • Fax: 805-253-1815

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-19-78343
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-22-59239
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: