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NPI Code Detail

MEDICARE: TRIANA BAUTISTA

MEDICARE:   TRIANA  BAUTISTA
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1689525685
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRIANA BAUTISTA
Provider Business Mailing Address
First Line : 996 ROYAL MARCO WAY
Second Line :
City : MARCO ISLAND
State : FL
Zip : 34145-1829
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3635 BELL BLVD STE 304
Second Line :
City : BAYSIDE
State : NY
Zip : 11361-2097
Country : US
Telephone Number : 347-321-4094
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2026
Last Update Date : 02/05/2026

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Directions to “ TRIANA BAUTISTA ” Practice Location

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