Provider Demographics
NPI:1609563246
Name:BATISTA, MARTHA E I
Entity Type:Individual
Prefix:MS
First Name:MARTHA
Middle Name:E
Last Name:BATISTA
Suffix:I
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 1:629 SW 11TH ST
Mailing Address - Street 2:
Mailing Address - City:FLORIDA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33034-4889
Mailing Address - Country:US
Mailing Address - Phone:305-798-4323
Mailing Address - Fax:
Practice Address - Street 1:629 SW 11TH ST
Practice Address - Street 2:
Practice Address - City:FLORIDA CITY
Practice Address - State:FL
Practice Address - Zip Code:33034-4889
Practice Address - Country:US
Practice Address - Phone:305-798-4323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-24
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician