Villablanca, Lauryn Mandac
Villablanca, Lauryn Mandac is an individual health care provider with primary practice located at 1616 Cornwall Ave Ste 100 , Bellingham WA 98225-4642. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Villablanca, Lauryn Mandac can be contacted via phone (360) 305-3275.Contact Information
Primary practice address
1616 Cornwall Ave Ste 100
Bellingham WA 98225-4642
Phone: (360) 305-3275
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1346759834 |
|---|---|
| LBN Legal business name | Villablanca, Lauryn Mandac |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2017 |
| Last updated | Sep 27th, 2017 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346759834 | NPPES |
| Washington | MEDICAID | PENDING |
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