Landers, Elisha Gayle

Landers, Elisha Gayle is an individual health care provider with primary practice located at 10175 Fortune Pkwy Unit 903 , Jacksonville FL 32256-6755. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Landers, Elisha Gayle can be contacted via phone (904) 538-0713.

Contact Information

Primary practice address
10175 Fortune Pkwy Unit 903 Jacksonville FL 32256-6755
Phone: (904) 538-0713
Fax: (904) 538-0714
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1457688483
LBN Legal business name Landers, Elisha Gayle
Credentials Master of Education (MED)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 12th, 2009
Last updated Nov 12th, 2009 - about 15 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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