Collazos Woolnough, Yairy Marcela

Collazos Woolnough, Yairy Marcela is an sole proprietor health care provider with primary practice located at 444 Nw 1St Ave Apt 403 , Fort Lauderdale FL 33301-8204. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Personal Care Attendant, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Collazos Woolnough, Yairy Marcela can be contacted via phone (754) 208-9829.

Contact Information

Primary practice address
444 Nw 1St Ave Apt 403 Fort Lauderdale FL 33301-8204
Phone: (754) 208-9829
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-17-38869 Florida

Profile Details

NPI number 1649685926
LBN Legal business name Collazos Woolnough, Yairy Marcela
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 25th, 2014
Last updated Mar 23rd, 2019 - about 5 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 1649685926 NPPES
Florida MEDICAID 009870100

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