Provider Demographics
NPI:1235602079
Name:ZAPATA, BIBIANA ANDREA
Entity Type:Individual
Prefix:
First Name:BIBIANA
Middle Name:ANDREA
Last Name:ZAPATA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1052 NIN ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-5135
Mailing Address - Country:US
Mailing Address - Phone:407-810-6180
Mailing Address - Fax:
Practice Address - Street 1:1052 NIN ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-5135
Practice Address - Country:US
Practice Address - Phone:407-810-6180
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-04
Last Update Date:2019-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician