Johanessen, Harold

Johanessen, Harold is an sole proprietor health care provider with primary practice located at 5 Ryker Ln , Palm Coast FL 32164-3411. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Johanessen, Harold can be contacted via phone (386) 846-6256.

Contact Information

Primary practice address
5 Ryker Ln Palm Coast FL 32164-3411
Phone: (386) 846-6256
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X BCBA 1-01-0582 Florida

Profile Details

NPI number 1184915621
LBN Legal business name Johanessen, Harold
Credentials BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 2nd, 2011
Last updated Apr 12th, 2013 - about 12 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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