Williams, Monique S

Williams, Monique S is an individual health care provider with primary practice located at 2180 Julian Ave Ne , Palm Bay FL 32905. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Williams, Monique S can be contacted via phone (321) 372-6813.

Contact Information

Primary practice address
2180 Julian Ave Ne Palm Bay FL 32905
Fax: (321) 765-6434
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-19-78001 Florida

Profile Details

NPI number 1255848735
LBN Legal business name Williams, Monique S
Credentials RBT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2018
Last updated Feb 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255848735 NPPES
Florida MEDICAID 023607500

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