Cardoza, Jessica Jean
Cardoza, Jessica Jean is an sole proprietor health care provider with primary practice located at 2139 W State Road 434 Ste 102 , Longwood FL 32779-5019. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Cardoza, Jessica Jean can be contacted via phone (407) 325-4726.Contact Information
Primary practice address
2139 W State Road 434 Ste 102
Longwood FL 32779-5019
Phone: (407) 325-4726
Fax: (407) 612-2359
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | ||
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
NPI number | 1023358702 |
---|---|
LBN Legal business name | Cardoza, Jessica Jean |
Credentials | M.S. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 18th, 2013 |
Last updated | Jun 4th, 2024 - about 5 months 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 | 1023358702 | NPPES |
Florida | MEDICAID | 116426900 | |
Florida | MEDICAID | 019191200 |
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