Provider Demographics
NPI:1265222947
Name:MARCELIN BAPTISTE, ROSELENE
Entity type:Individual
Prefix:
First Name:ROSELENE
Middle Name:
Last Name:MARCELIN BAPTISTE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:435 NE 210TH CIRCLE TER APT 103
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33179-1853
Mailing Address - Country:US
Mailing Address - Phone:786-291-2231
Mailing Address - Fax:
Practice Address - Street 1:435 NE 210TH CIRCLE TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33179-1853
Practice Address - Country:US
Practice Address - Phone:786-291-2231
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-07
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-25-429649106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician