Blakita, Collin A
Blakita, Collin A is an individual health care provider with primary practice located at 41760 Ivy St Ste 101 , Murrieta CA 92562-9416. He recently has only one registered license in Behavioral Health & Social Service Providers / Assistant Behavior Analyst, which is considered as his primary health care specialty. Blakita, Collin A can be contacted via phone (951) 595-4673.Contact Information
Primary practice address
41760 Ivy St Ste 101
Murrieta CA 92562-9416
Phone: (951) 595-4673
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Assistant Behavior Analyst | 106E00000X | California |
Profile Details
| NPI number | 1336863539 |
|---|---|
| LBN Legal business name | Blakita, Collin A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 30th, 2022 |
| Last updated | Sep 30th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336863539 | NPPES |
| Michigan | Other | 04788600 | UHC |
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