Lopez, Chazity
Lopez, Chazity is an sole proprietor health care provider with primary practice located at 6973 University Blvd , Winter Park FL 32792. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Lopez, Chazity can be contacted via phone (888) 754-0398.Contact Information
Primary practice address
6973 University Blvd
Winter Park FL 32792
Phone: (888) 754-0398
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1396337960 |
|---|---|
| LBN Legal business name | Lopez, Chazity |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 5th, 2021 |
| Last updated | Jul 14th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396337960 | NPPES |
| Florida | MEDICAID | 112432100 |
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