Gaviria, Fanny S
Gaviria, Fanny S is an sole proprietor health care provider with primary practice located at 13504 Ne 21St Ct , North Miami FL 33181-1866. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Gaviria, Fanny S can be contacted via phone (954) 242-2375.Contact Information
Primary practice address
13504 Ne 21St Ct
North Miami FL 33181-1866
Phone: (954) 242-2375
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | RBT-18-63008 | Florida |
Profile Details
| NPI number | 1285281519 |
|---|---|
| LBN Legal business name | Gaviria, Fanny S |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 21st, 2019 |
| Last updated | Oct 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285281519 | NPPES |
| Florida | MEDICAID | 020924200 |
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