Adrasse, Samantha Diedre
Adrasse, Samantha Diedre is an sole proprietor health care provider with primary practice located at 27844 Manor Oak Dr , Wesley Chapel FL 33544-5367. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Speech, Language and Hearing Service Providers / Speech-Language Assistant. Speech, Language and Hearing Service Providers / Speech-Language Assistant is her primary health care specialty. Adrasse, Samantha Diedre can be contacted via phone (754) 422-4791.Contact Information
Primary practice address
27844 Manor Oak Dr
Wesley Chapel FL 33544-5367
Phone: (754) 422-4791
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | RBT-21-168594 | Florida |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X | Florida | |
Speech, Language and Hearing Service Providers / Speech-Language Assistant | 2355S0801X | SI5594 | Florida |
Profile Details
NPI number | 1043968266 |
---|---|
LBN Legal business name | Adrasse, Samantha Diedre |
Credentials | RBT-21-168594 |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 16th, 2022 |
Last updated | Jul 25th, 2023 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1043968266 | NPPES |
Florida | MEDICAID | 110674100 |
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