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KEZIAH CELINA BUENO
NPI 1811611361
Psychologist - Health Service in Pace, FL

Active since September 28, 2022
4009 DEERWOOD CIR, PACE, FL 32571(448) 201-2604 Get Directions Write a Review

NPPES record last updated: September 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Keziah Celina Bueno NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEZIAH CELINA BUENO (NPI 1811611361) is an individual health service provider in Pace, Florida, licensed in Florida (B500503979490) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1811611361
Entity TypeIndividualFemale
Primary Taxonomy103TH0100X
Provider Legal NameKEZIAH CELINA BUENO
Location Address4009 DEERWOOD CIRPace, FL 32571-1108
Mailing Address4009 Deerwood CirPace, FL 32571-1108
Phone(448) 201-2604
Sole ProprietorYes
Enumeration DateSeptember 28, 2022
NPPES CertifiedSeptember 28, 2022
✔ NPI 1811611361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers
Taxonomy Code103TH0100X
License✔ Licensed in FL · B500503979490
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
4009 DEERWOOD CIR, Pace, FL 32571
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIE JAYNE CHRISTOFFERSON
Technician (Attendant Care Provider)
4009 DEERWOOD CIR
PACE, FL 32571
Santa Rosa County (850) 855-9999

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keziah Bueno's NPI number?

The NPI number for Keziah Bueno is 1811611361. It was assigned to this individual provider in the NPPES registry on September 28, 2022.

Where is Keziah Bueno located?

Keziah Bueno practices at 4009 Deerwood Cir, Pace, FL 32571. The listed phone number is (448) 201-2604.

What is Keziah Bueno's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

When was this NPI record last updated?

The NPPES record for Keziah Bueno was last updated on September 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.