NPIMap

Alexandra Bayas, MS.ED

Individual provider Active NPI Developmental Therapist · Valrico, FL

NPI 1124362603 · NPPES record last updated Jul 31, 2019

Key facts

NPI
1124362603
Entity type
Individual (NPI type 1)
Primary specialty
Developmental Therapist 222Q00000X
License
649054 (FL)
Practice address
2001 River Park CT
Valrico, FL 33596-7233
Phone
(813) 712-9975
NPI assigned
Nov 21, 2012
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
8505514NYMDSpecialist
649054FLMDDevelopmental Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Center for Attachment & Trauma, LLC Current
since Oct 1, 2019		 Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 8505514 NY
Developmental Therapist 222Q00000X 649054 FL Yes

Addresses

Primary practice location

2001 River Park CT
Valrico, FL 33596-7233

Mailing address

4951 Diamonds Palm Loop
Wesley Chapel, FL 33543-7162
Phone (646) 546-3750

Other practice location 1

4951 Diamonds Palm Loop
Wesley Chapel, FL 33543-7162
Phone (646) 546-3750

Other providers in Valrico, FL

All providers in Valrico, FL · Developmental Therapist in Florida

Sources for this page

Verify at the official NPI Registry.