Blake, Shantaneast Rosalee
Blake, Shantaneast Rosalee is an sole proprietor health care provider with primary practice located at 763 53Rd Ter N , Saint Petersburg FL 33703-2839. She recently has only one registered license in Behavioral Health & Social Service Providers / Assistant Behavior Analyst, which is considered as her primary health care specialty. Blake, Shantaneast Rosalee can be contacted via phone (727) 564-2126.Contact Information
Primary practice address
763 53Rd Ter N
Saint Petersburg FL 33703-2839
Phone: (727) 564-2126
Fax: (727) 564-2126
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Assistant Behavior Analyst | 106E00000X |
Profile Details
| NPI number | 1447764642 |
|---|---|
| LBN Legal business name | Blake, Shantaneast Rosalee |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 27th, 2017 |
| Last updated | Nov 27th, 2017 - about 7 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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