Ma. de Jesus Bautista
Individual provider Active NPI Developmental Therapist · Seffner, FL
NPI 1376216754 · NPPES record last updated Jul 30, 2021
Key facts
- NPI
- 1376216754
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- Practice address
- 11722 Lynn Brook Cir
Seffner, FL 33584-7203 - Phone
- (813) 484-2314
- Fax
- (813) 433-5163
- NPI assigned
- Jul 30, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childrens Development First. Corp | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Yes |
Addresses
Primary practice location
11722 Lynn Brook Cir
Seffner, FL 33584-7203
Mailing address
11722 Lynn Brook Cir
Seffner, FL 33584-7203
Phone (813) 484-2314
Other providers in Seffner, FL
- Jenny Maria Asseessi
- Sarah Marilyn Ball
- Niurka Bardina de la Torre
- Camila Barthelemy Hernandez
- Jason Prentice Batton
- Bayshore Dental Center GPS PLLC
- Connie Belcher
- Mayra Belmares
- Rocio Adelays Beovides Gonzalez
- Best NP Practice LLC
All providers in Seffner, FL · Developmental Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.