Vivas, Deidre
Vivas, Deidre is an sole proprietor health care provider with primary practice located at 5232 Nw 112Th Pl , Doral FL 33178-3503. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Vivas, Deidre can be contacted via phone (786) 942-4099.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1780769208 |
|---|---|
| LBN Legal business name | Vivas, Deidre |
| Credentials | BCBA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 25th, 2006 |
| Last updated | Mar 27th, 2019 - about 6 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 | 1780769208 | NPPES |
| Florida | MEDICAID | 811887600 | |
| Florida | MEDICAID | 018383100 |
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