Meredith, Charles Brian

Meredith, Charles Brian is an individual health care provider with primary practice located at 3408 South Atlantic Ave. Pmb 1052, Daytona Beach Shores FL 32118. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Meredith, Charles Brian can be contacted via phone (386) 767-3752.

Contact Information

Primary practice address
3408 South Atlantic Ave. Pmb 1052 Daytona Beach Shores FL 32118
Phone: (386) 767-3752
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-23-253447 Florida

Profile Details

NPI number 1174238703
LBN Legal business name Meredith, Charles Brian
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2023
Last updated Jan 18th, 2023 - about last year

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 1174238703 NPPES
Florida Other RBT-23-253447 BACB

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