Booth, Erin N

Booth, Erin N is an sole proprietor health care provider with primary practice located at 411 N. Donnelly St. Suite 307, Mount Dora FL 32757. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Booth, Erin N can be contacted via phone (352) 720-5194.

Contact Information

Primary practice address
411 N. Donnelly St. Suite 307 Mount Dora FL 32757
Phone: (352) 720-5194
Fax:
Website:
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Health care specialties

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

Profile Details

NPI number 1043737661
LBN Legal business name Booth, Erin N
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2017
Last updated Oct 11th, 2021 - about 3 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 1043737661 NPPES
Florida MEDICAID 021058600

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