Provider Demographics
NPI:1174415574
Name:TRIANA, LINDA KATHERINE (RBT-25-452794)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:KATHERINE
Last Name:TRIANA
Suffix:
Gender:F
Credentials:RBT-25-452794
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 E EDGEWOOD DR APT 87
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33803-6524
Mailing Address - Country:US
Mailing Address - Phone:863-617-0144
Mailing Address - Fax:
Practice Address - Street 1:225 E EDGEWOOD DR APT 87
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33803-6524
Practice Address - Country:US
Practice Address - Phone:863-617-0144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-18
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-25-452794106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician