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
Phone: (866) 610-0580
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376060327 | NPPES |
| Florida | MEDICAID | 1376060327 |
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