Hazel, Paulene T

Hazel, Paulene T is an sole proprietor health care provider with primary practice located at 18051 Sw 18Th St , Miramar FL 33029-5203. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Hazel, Paulene T can be contacted via phone (954) 296-6633.

Contact Information

Primary practice address
18051 Sw 18Th St Miramar FL 33029-5203
Phone: (954) 296-6633
Fax: (954) 442-4660
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 0-03-0807 Florida
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X 0-03-0807 Florida

Profile Details

NPI number 1912345232
LBN Legal business name Hazel, Paulene T
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2013
Last updated Jan 20th, 2014 - about 10 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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