Rodriguez, Vanessa Shantae

Rodriguez, Vanessa Shantae is an individual health care provider with primary practice located at 7326 Little Rd , New Port Richey FL 34654-5518. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Rodriguez, Vanessa Shantae can be contacted via phone (866) 610-0580.

Contact Information

Primary practice address
7326 Little Rd New Port Richey FL 34654-5518
Fax:
Website:

Health care specialties

Profile Details

NPI number 1376060327
LBN Legal business name Rodriguez, Vanessa Shantae
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2017
Last updated May 30th, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1376060327 NPPES
Florida MEDICAID 1376060327

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