Provider Demographics
NPI:1992523351
Name:MORALES BATISTA, KARELY ZOE
Entity type:Individual
Prefix:
First Name:KARELY
Middle Name:ZOE
Last Name:MORALES BATISTA
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 1:1394 RUNNING TRL
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32825-5134
Mailing Address - Country:US
Mailing Address - Phone:407-574-9014
Mailing Address - Fax:
Practice Address - Street 1:1394 RUNNING TRL
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32825-5134
Practice Address - Country:US
Practice Address - Phone:407-574-9014
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-02
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty