MEDICARE: VANESSA BATISTA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	1-20-46027	FL

General Provider Information

NPI Number	:	1366892739
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VANESSA BATISTA

Provider Business Mailing Address
First Line	:	8851 NW 119TH ST UNIT 5205
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33018-7916
Country	:	US
Telephone Number	:	786-273-8871
Fax Number	:

Provider Business Practice Location Address
First Line	:	5860 SW 150TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33193-2062
Country	:	US
Telephone Number	:	786-273-8871
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2016
Last Update Date	:	03/02/2026

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Directions to “ VANESSA BATISTA ” Practice Location

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