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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 8 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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