Troutman, Kimmesha

Troutman, Kimmesha is an sole proprietor health care provider with primary practice located at 420 E Sr 434 Ste A , Longwood FL 32750-5244. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Troutman, Kimmesha can be contacted via phone (407) 476-4908.

Contact Information

Primary practice address
420 E Sr 434 Ste A Longwood FL 32750-5244
Phone: (407) 476-4908
Fax: (844) 839-5839
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-19-36525 Florida

Profile Details

NPI number 1619380961
LBN Legal business name Troutman, Kimmesha
Credentials BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 4th, 2014
Last updated Dec 2nd, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619380961 NPPES
Florida MEDICAID 017645000

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