MEDICARE: BSS

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1437551207
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BSS

Provider Business Mailing Address
First Line	:	933 BELLA VISTA WAY
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32825-6387
Country	:	US
Telephone Number	:	407-538-2439
Fax Number	:

Provider Business Practice Location Address
First Line	:	933 BELLA VISTA WAY
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32825-6387
Country	:	US
Telephone Number	:	407-538-2439
Fax Number	:

Authorized Official
Title or Position	:	BEHAVIOR AUTISM SPECIALIST
Name	:	SANDRA DILIA FUNES
Credential	:
Telephone Number	:	407-538-2439

Provider Enumeration Date	:	09/23/2014
Last Update Date	:	09/23/2014

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Directions to “BSS ” Practice Location

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