Estes, Robert Lyle

Estes, Robert Lyle is an sole proprietor health care provider with primary practice located at 119 Summer Breeze Rd , Panama City Beach FL 32413-2086. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is his primary health care specialty. Estes, Robert Lyle can be contacted via phone (850) 233-3647.

Contact Information

Primary practice address
119 Summer Breeze Rd Panama City Beach FL 32413-2086
Phone: (850) 233-3647
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-01-0504

Profile Details

NPI number 1780694554
LBN Legal business name Estes, Robert Lyle
Credentials MS, BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 8th, 2006
Last updated Oct 19th, 2019 - about 6 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 1780694554 NPPES
Florida MEDICAID 671972402

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