Individual
AANYA BASTIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5313 PAGNOTTA PL, LUTZ, FL 33558-8046
(813) 470-8288
Mailing address
5313 PAGNOTTA PL, LUTZ, FL 33558-8046
(813) 470-8288
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/26/2025
Last updated
09/26/2025
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