Provider Demographics
NPI:1316749609
Name:BALSINDE, KATISLEIDYS
Entity type:Individual
Prefix:
First Name:KATISLEIDYS
Middle Name:
Last Name:BALSINDE
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 1:3105 27TH ST SW
Mailing Address - Street 2:
Mailing Address - City:LEHIGH ACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33976-3960
Mailing Address - Country:US
Mailing Address - Phone:239-565-9201
Mailing Address - Fax:
Practice Address - Street 1:3105 27TH ST SW
Practice Address - Street 2:
Practice Address - City:LEHIGH ACRES
Practice Address - State:FL
Practice Address - Zip Code:33976-3960
Practice Address - Country:US
Practice Address - Phone:239-565-9201
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician