Edwards, Shane M

Edwards, Shane M is an individual health care provider with primary practice located at 8875 Hidden River Pkwy Ste 318 , Tampa FL 33637-1035. He recently has only one registered license in Behavioral Health & Social Service Providers / Assistant Behavior Analyst, which is considered as his primary health care specialty. Edwards, Shane M can be contacted via phone (813) 367-2067.

Contact Information

Primary practice address
8875 Hidden River Pkwy Ste 318 Tampa FL 33637-1035
Phone: (813) 367-2067
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X E363793931500 Florida

Profile Details

NPI number 1962037648
LBN Legal business name Edwards, Shane M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2020
Last updated Mar 3rd, 2020 - about 4 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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