Guerra Rodriguez, Ivelyn

Guerra Rodriguez, Ivelyn is an sole proprietor health care provider with primary practice located at 1508 19Th Ave N # 561 , Lake Worth FL 33460-6064. She recently has 2 registered licenses in different health care specialties including Agencies / Home Health, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Guerra Rodriguez, Ivelyn can be contacted via phone (561) 377-9760.

Contact Information

Primary practice address
1508 19Th Ave N # 561 Lake Worth FL 33460-6064
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT21-159043 Florida

Profile Details

NPI number 1245801018
LBN Legal business name Guerra Rodriguez, Ivelyn
Credentials RBT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 2nd, 2021
Last updated Aug 26th, 2021 - about 3 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 1245801018 NPPES
Florida MEDICAID 110625000

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