Cossaboon, Richard John

Cossaboon, Richard John is an sole proprietor health care provider with primary practice located at 105 Cayle Ave , Longwood FL 32750-2802. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Cossaboon, Richard John can be contacted via phone (132) 137-0663.

Contact Information

Primary practice address
105 Cayle Ave Longwood FL 32750-2802
Phone: (132) 137-0663
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-20-136793 Florida

Profile Details

NPI number 1043816648
LBN Legal business name Cossaboon, Richard John
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 8th, 2020
Last updated Dec 8th, 2020 - 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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