Dorta, Leticia

Dorta, Leticia is an sole proprietor health care provider with primary practice located at 8902 Sw 225Th St , Cutler Bay FL 33190-1342. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Assistant Behavior Analyst is her primary health care specialty. Dorta, Leticia can be contacted via phone (786) 800-0240.

Contact Information

Primary practice address
8902 Sw 225Th St Cutler Bay FL 33190-1342
Fax:
Website:

Profile Details

NPI number 1821384389
LBN Legal business name Dorta, Leticia
Credentials BCABA 0-20-11143
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2011
Last updated Nov 1st, 2023 - about last year

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 1821384389 NPPES
Florida MEDICAID 0-20-11143

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