Rieck, Lisa M

Rieck, Lisa M is an sole proprietor health care provider with primary practice located at 3656 Jack Pine Ln , Ormond Beach FL 32174-8021. She recently has only one registered license in Behavioral Health & Social Service Providers / Assistant Behavior Analyst, which is considered as her primary health care specialty. Rieck, Lisa M can be contacted via phone (386) 562-4623.

Contact Information

Primary practice address
3656 Jack Pine Ln Ormond Beach FL 32174-8021
Phone: (386) 562-4623
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X

Profile Details

NPI number 1134529332
LBN Legal business name Rieck, Lisa M
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 26th, 2014
Last updated Mar 17th, 2018 - 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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