Shore, Bridget Anita
Shore, Bridget Anita is an sole proprietor health care provider with primary practice located at 2050 Classique Ln , Tavares FL 32778-5787. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Shore, Bridget Anita can be contacted via phone (352) 508-5243.Contact Information
Primary practice address
2050 Classique Ln
Tavares FL 32778-5787
Phone: (352) 508-5243
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-04-1993 | Florida |
Profile Details
| NPI number | 1255868626 |
|---|---|
| LBN Legal business name | Shore, Bridget Anita |
| Credentials | BCBA-D |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 17th, 2017 |
| Last updated | May 17th, 2017 - about 7 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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