Cleveland, Kristy

Cleveland, Kristy is an individual health care provider with primary practice located at 600 Lake Hollingsworth Dr , Lakeland FL 33803-2364. 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. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist is her primary health care specialty. Cleveland, Kristy can be contacted via phone (863) 665-7300.

Contact Information

Primary practice address
600 Lake Hollingsworth Dr Lakeland FL 33803-2364
Phone: (863) 665-7300
Fax:
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

Profile Details

NPI number 1497394498
LBN Legal business name Cleveland, Kristy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2019
Last updated May 2nd, 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 1497394498 NPPES
Florida MEDICAID 1831560762

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