Sanderson, Joel

Sanderson, Joel is an individual health care provider with primary practice located at 23 Rybar Ln , Palm Coast FL 32164-6445. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is his primary health care specialty. Sanderson, Joel can be contacted via phone (386) 316-3004.

Contact Information

Primary practice address
23 Rybar Ln Palm Coast FL 32164-6445
Phone: (386) 316-3004
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X 0-23-14515 Florida
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-24-70514 Florida

Profile Details

NPI number 1568126506
LBN Legal business name Sanderson, Joel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2021
Last updated Jan 6th, 2024 - about 10 months 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 1568126506 NPPES
Florida MEDICAID 112086800

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