Chang, Miguel A

Chang, Miguel A is an individual health care provider with primary practice located at 6801 Lake Worth Rd Ste 322 , Greenacres FL 33467-2966. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Chang, Miguel A can be contacted via phone (561) 771-9561.

Contact Information

Primary practice address
6801 Lake Worth Rd Ste 322 Greenacres FL 33467-2966
Phone: (561) 771-9561
Fax: (800) 766-3139
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-19-89755 Florida

Profile Details

NPI number 1174170666
LBN Legal business name Chang, Miguel A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2019
Last updated Mar 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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Identifiers

StateTypeNumberIssuer
All States NPI 1174170666 NPPES
Florida MEDICAID 103954000

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