White, Alicia N

White, Alicia N is an individual health care provider with primary practice located at 2808 Hawks Landing Blvd , Panama City FL 32405. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Health Information, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. White, Alicia N can be contacted via phone (615) 948-7203.

Contact Information

Primary practice address
2808 Hawks Landing Blvd Panama City FL 32405
Phone: (615) 948-7203
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Health Information 246Y00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-15-19917

Profile Details

NPI number 1083910509
LBN Legal business name White, Alicia N
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2011
Last updated Feb 20th, 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 1083910509 NPPES
Florida MEDICAID 017740500

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