Ellis-Woroch, Barbara

Ellis-Woroch, Barbara is an sole proprietor health care provider with primary practice located at 415 N Richard Jackson Blvd Ste 209 , Panama City Beach FL 32407-3694. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Ellis-Woroch, Barbara can be contacted via phone (850) 866-0441.

Contact Information

Primary practice address
415 N Richard Jackson Blvd Ste 209 Panama City Beach FL 32407-3694
Phone: (850) 866-0441
Fax: (850) 254-0827
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 17-254-61 Florida
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-17-25461 Florida

Profile Details

NPI number 1568857225
LBN Legal business name Ellis-Woroch, Barbara
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 31st, 2015
Last updated May 18th, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1568857225 NPPES
Florida MEDICAID 104870300

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