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
Phone: (386) 589-7794
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1548814536 | NPPES |
Florida | MEDICAID | 0000000 |
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