Potts, Leila Lissette
Potts, Leila Lissette is an individual health care provider with primary practice located at 171 State Highway 83 Unit A110 , Defuniak Springs FL 32433-7427. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Potts, Leila Lissette can be contacted via phone (850) 585-9189.Contact Information
Primary practice address
171 State Highway 83 Unit A110
Defuniak Springs FL 32433-7427
Phone: (850) 585-9189
Fax: (850) 951-0898
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-21-52177 | Florida |
Profile Details
| NPI number | 1336676451 |
|---|---|
| LBN Legal business name | Potts, Leila Lissette |
| Credentials | MS, BCBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2017 |
| Last updated | Aug 2nd, 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 | 1336676451 | NPPES |
| Florida | MEDICAID | 020921600 |
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