Vidro, Moise

Vidro, Moise is an individual health care provider with primary practice located at 2707 Florence Dr , Hopkinsville KY 42240-1637. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Vidro, Moise can be contacted via phone (803) 201-0792.

Contact Information

Primary practice address
2707 Florence Dr Hopkinsville KY 42240-1637
Phone: (803) 201-0792
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-21-175735 Tennessee

Profile Details

NPI number 1801569876
LBN Legal business name Vidro, Moise
Credentials RBT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2021
Last updated Sep 13th, 2023 - about 2 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 1801569876 NPPES
Tennessee Other RBT-21-175735 BEHAVIOR TECHNICIAN

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