Beverly, Jaeda

Beverly, Jaeda is an individual health care provider with primary practice located at 2574 Commerce Pkwy , North Port FL 34289-9334. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Beverly, Jaeda can be contacted via phone (800) 356-4049.

Contact Information

Primary practice address
2574 Commerce Pkwy North Port FL 34289-9334
Phone: (800) 356-4049
Fax: (941) 485-0519
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-21-161123 Florida

Profile Details

NPI number 1558940734
LBN Legal business name Beverly, Jaeda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2021
Last updated Apr 6th, 2021 - about 4 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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