Provider Demographics
NPI:1407628936
Name:BATISTA, JANET (CBHCM)
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:
Last Name:BATISTA
Suffix:
Gender:F
Credentials:CBHCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15315 SW 106TH TER APT 430
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33196-4580
Mailing Address - Country:US
Mailing Address - Phone:786-367-4785
Mailing Address - Fax:
Practice Address - Street 1:15315 SW 106TH TER APT 430
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33196-4580
Practice Address - Country:US
Practice Address - Phone:786-367-4785
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-27
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCBHCM.0106185171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty