Provider Demographics
NPI:1821126046
Name:BATISTA, MONICA (MS)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:BATISTA
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2141 NW 30TH RD
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-6367
Mailing Address - Country:US
Mailing Address - Phone:561-994-3192
Mailing Address - Fax:561-995-9381
Practice Address - Street 1:2141 NW 30TH RD
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-6367
Practice Address - Country:US
Practice Address - Phone:561-994-3192
Practice Address - Fax:561-995-9381
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist