Dorta, Licet

Dorta, Licet is an sole proprietor health care provider with primary practice located at 9234 Sw 211Th Ln , Cutler Bay FL 33189. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Assistant Behavior Analyst. Behavioral Health & Social Service Providers / Assistant Behavior Analyst is her primary health care specialty. Dorta, Licet can be contacted via phone (786) 800-0240.

Contact Information

Primary practice address
9234 Sw 211Th Ln Cutler Bay FL 33189
Phone: (786) 800-0240
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Florida
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X Florida

Profile Details

NPI number 1982115713
LBN Legal business name Dorta, Licet
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2017
Last updated Jun 26th, 2024 - about 3 months 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 1982115713 NPPES
Florida MEDICAID 021064800

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