Healthcare Provider Details

I. General information

NPI: 1922889070
Provider Name (Legal Business Name): ROSALY VALDES BARRIOS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/12/2023
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8245 VICELA DR
SARASOTA FL
34240-1462
US

IV. Provider business mailing address

8237 VICELA DR
SARASOTA FL
34240-1462
US

V. Phone/Fax

Practice location:
  • Phone: 800-210-0814
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number0-26-17235
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: