Rosa, Berenis
Rosa, Berenis is an individual health care provider with primary practice located at 6426 W Riverchase Dr Bldg 33 , Temple Terrace FL 33637-5658. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Rosa, Berenis can be contacted via phone (718) 764-9423.Contact Information
Primary practice address
6426 W Riverchase Dr Bldg 33
Temple Terrace FL 33637-5658
Phone: (718) 764-9423
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1952976128 |
|---|---|
| LBN Legal business name | Rosa, Berenis |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2021 |
| Last updated | May 20th, 2021 - about 4 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 | 1952976128 | NPPES |
| New York | MEDICAID | UB30302W |
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