Provider Demographics
NPI:1497548150
Name:BASTYS, ARIANNA (AUD)
Entity type:Individual
Prefix:
First Name:ARIANNA
Middle Name:
Last Name:BASTYS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5350 DESOTO RD APT 1308
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34235-2715
Mailing Address - Country:US
Mailing Address - Phone:708-691-7853
Mailing Address - Fax:
Practice Address - Street 1:5620 TARA BLVD STE 103
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34203-8865
Practice Address - Country:US
Practice Address - Phone:941-316-0406
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-27
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY2930231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist