Wisdom, Ellakaye

Wisdom, Ellakaye is an individual health care provider with primary practice located at 1116 Nikki View Dr , Brandon FL 33511-4868. She recently has only one registered license in Behavioral Health & Social Service Providers / Assistant Behavior Analyst, which is considered as her primary health care specialty. Wisdom, Ellakaye can be contacted via phone (855) 832-6727.

Contact Information

Primary practice address
1116 Nikki View Dr Brandon FL 33511-4868
Phone: (855) 832-6727
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X 017422400 Florida

Profile Details

NPI number 1720514532
LBN Legal business name Wisdom, Ellakaye
Credentials ABA
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2017
Last updated May 11th, 2017 - about 7 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 1720514532 NPPES
Florida MEDICAID 017422400

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