Hyatt, Kendall Nicole

Hyatt, Kendall Nicole is an individual health care provider with primary practice located at 150 Avenue B Se , Winter Haven FL 33880-3037. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Hyatt, Kendall Nicole can be contacted via phone (863) 398-6734.

Contact Information

Primary practice address
150 Avenue B Se Winter Haven FL 33880-3037
Phone: (863) 398-6734
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Florida

Profile Details

NPI number 1669112603
LBN Legal business name Hyatt, Kendall Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2022
Last updated Mar 29th, 2022 - 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 1669112603 NPPES
Florida MEDICAID 835661

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