Roberts, Lacrisha

Roberts, Lacrisha is an individual health care provider with primary practice located at 495 Grand Blvd Ste 206 , Miramar Beach FL 32550-1897. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Roberts, Lacrisha can be contacted via phone (855) 832-6727.

Contact Information

Primary practice address
495 Grand Blvd Ste 206 Miramar Beach FL 32550-1897
Phone: (855) 832-6727
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1851046890
LBN Legal business name Roberts, Lacrisha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2022
Last updated Mar 12th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1851046890 NPPES
Florida MEDICAID 113068400

Popular Providers