Wilson, Courtney
Wilson, Courtney is an sole proprietor health care provider with primary practice located at 1650 W Main St Ste 1 , Leesburg FL 34748-2842. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Wilson, Courtney can be contacted via phone (352) 314-3760.Contact Information
Primary practice address
1650 W Main St Ste 1
Leesburg FL 34748-2842
Phone: (352) 314-3760
Fax: (352) 314-2909
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | RBT-21-169298 | Florida |
Profile Details
| NPI number | 1831765460 |
|---|---|
| LBN Legal business name | Wilson, Courtney |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 3rd, 2021 |
| Last updated | Jun 3rd, 2021 - 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 | 1831765460 | NPPES |
| Florida | MEDICAID | 110564400 |
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