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:
Health care specialties
Specialty | Code | License # | 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 5 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 | 1083910509 | NPPES |
Florida | MEDICAID | 017740500 |
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