Provider Demographics
NPI:1033001359
Name:CIEZZA, LANDYS ROSSINI
Entity type:Individual
Prefix:
First Name:LANDYS
Middle Name:ROSSINI
Last Name:CIEZZA
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 1:6405 BANDURA AVE
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34653-1649
Mailing Address - Country:US
Mailing Address - Phone:848-448-2581
Mailing Address - Fax:848-448-2581
Practice Address - Street 1:6405 BANDURA AVE
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34653-1649
Practice Address - Country:US
Practice Address - Phone:848-448-2581
Practice Address - Fax:848-448-2581
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-25-454843106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician