Coreano, Lynette

Coreano, Lynette is an sole proprietor health care provider with primary practice located at 1912 Dairy Rd , West Melbourne FL 32904-4046. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Coreano, Lynette can be contacted via phone (321) 413-3366.

Contact Information

Primary practice address
1912 Dairy Rd West Melbourne FL 32904-4046
Phone: (321) 413-3366
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-22-63075
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-18-61442 Florida

Profile Details

NPI number 1417455627
LBN Legal business name Coreano, Lynette
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2018
Last updated Dec 11th, 2022 - about 3 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 1417455627 NPPES
Florida MEDICAID 023670400

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