Provider Demographics
NPI:1487135018
Name:ORLANDINI, ELIZA LOWRY (BCBA, RBT)
Entity type:Individual
Prefix:
First Name:ELIZA
Middle Name:LOWRY
Last Name:ORLANDINI
Suffix:
Gender:F
Credentials:BCBA, RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13095 BRIANS CREEK DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32224-8491
Mailing Address - Country:US
Mailing Address - Phone:803-603-0108
Mailing Address - Fax:
Practice Address - Street 1:13095 BRIANS CREEK DR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32224-8491
Practice Address - Country:US
Practice Address - Phone:803-603-0108
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-22
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-17-38823106S00000X
FLRBT-17-38832222Q00000X
FL1-22-63176103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist