Adams, Virginia

Adams, Virginia is an individual health care provider with primary practice located at 2860 W Main St , Leesburg FL 34748-4631. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Adams, Virginia can be contacted via phone (813) 957-8327.

Contact Information

Primary practice address
2860 W Main St Leesburg FL 34748-4631
Phone: (813) 957-8327
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1669196937
LBN Legal business name Adams, Virginia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2022
Last updated Sep 30th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669196937 NPPES
Florida MEDICAID 108023800

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