Vollmer, Theodore Henry
Vollmer, Theodore Henry is an individual health care provider with primary practice located at 175 Middle St Unit 1201 , Lake Mary FL 32746-3625. He 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 his primary health care specialty. Vollmer, Theodore Henry can be contacted via phone (352) 642-2044.Contact Information
Primary practice address
175 Middle St Unit 1201
Lake Mary FL 32746-3625
Phone: (352) 642-2044
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | ||
Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | BACB442876 | Florida |
Profile Details
NPI number | 1972053882 |
---|---|
LBN Legal business name | Vollmer, Theodore Henry |
Credentials | RBT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 4th, 2016 |
Last updated | Aug 10th, 2021 - about 3 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 | 1972053882 | NPPES |
Florida | MEDICAID | 1972053882 |
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