Mclean-Reshen, Shea Alexis

Mclean-Reshen, Shea Alexis is an individual health care provider with primary practice located at 3781 Grove View Ln , Port Orange FL 32129-8602. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Mclean-Reshen, Shea Alexis can be contacted via phone (386) 589-7794.

Contact Information

Primary practice address
3781 Grove View Ln Port Orange FL 32129-8602
Fax:
Website:

Health care specialties

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

Profile Details

NPI number 1548814536
LBN Legal business name Mclean-Reshen, Shea Alexis
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2019
Last updated Aug 6th, 2019 - about 6 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 1548814536 NPPES
Florida MEDICAID 0000000

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