Bourbon, Paciana

Bourbon, Paciana is an sole proprietor health care provider with primary practice located at 8001 Sw 36Th St , Davie FL 33328-1915. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Bourbon, Paciana can be contacted via phone (954) 577-7790.

Contact Information

Primary practice address
8001 Sw 36Th St Davie FL 33328-1915
Phone: (954) 577-7790
Fax: (954) 577-7780
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-18-66539 Florida

Profile Details

NPI number 1083091755
LBN Legal business name Bourbon, Paciana
Credentials RBT
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2015
Last updated May 3rd, 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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