Bevacqua, James Aaron

Bevacqua, James Aaron is an individual health care provider with primary practice located at 1717 S Orange Ave Ste 100 , Orlando FL 32806-2946. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Bevacqua, James Aaron can be contacted via phone (407) 650-7000.

Contact Information

Primary practice address
1717 S Orange Ave Ste 100 Orlando FL 32806-2946
Phone: (407) 650-7000
Fax: (407) 567-5924
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1528291994
LBN Legal business name Bevacqua, James Aaron
Credentials BCABA
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2009
Last updated Mar 17th, 2018 - about 6 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 1528291994 NPPES
Florida MEDICAID 023253400

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