Bonck, Tara
Bonck, Tara is an sole proprietor health care provider with primary practice located at 1065 Loring Dr Apt H , Merritt Island FL 32953-2563. She recently has 2 registered licenses in different health care specialties including Agencies / Case Management, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Bonck, Tara can be contacted via phone (434) 941-1736.Contact Information
Primary practice address
1065 Loring Dr Apt H
Merritt Island FL 32953-2563
Phone: (434) 941-1736
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Case Management | 251B00000X | ||
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | 22-217714 |
Profile Details
| NPI number | 1881192326 |
|---|---|
| LBN Legal business name | Bonck, Tara |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2018 |
| Last updated | Jun 1st, 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.
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