Broomfield, Geavanya

Broomfield, Geavanya is an sole proprietor health care provider with primary practice located at 5798 S Semoran Blvd , Orlando FL 32822-4819. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Assistant, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Broomfield, Geavanya can be contacted via phone (407) 455-2105.

Contact Information

Primary practice address
5798 S Semoran Blvd Orlando FL 32822-4819
Phone: (407) 455-2105
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Assistant 2355S0801X SI2508 Florida
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-21-56511 Florida

Profile Details

NPI number 1548716376
LBN Legal business name Broomfield, Geavanya
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2016
Last updated Dec 14th, 2023 - about last year

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 1548716376 NPPES
Florida MEDICAID 113378200
Florida Other SI2508

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