Collantes, Jessica

Collantes, Jessica is an individual health care provider with primary practice located at 3761 E 8Th Ave , Hialeah FL 33013-2838. She recently has only one registered license in Behavioral Health & Social Service Providers / Assistant Behavior Analyst, which is considered as her primary health care specialty. Collantes, Jessica can be contacted via phone (786) 499-2716.

Contact Information

Primary practice address
3761 E 8Th Ave Hialeah FL 33013-2838
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X 0-17-7778 Florida

Profile Details

NPI number 1447608120
LBN Legal business name Collantes, Jessica
Credentials BCABA
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2016
Last updated Mar 31st, 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 1447608120 NPPES
Florida MEDICAID 104813300

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