Agredo, Monica

Agredo, Monica is an sole proprietor health care provider with primary practice located at 2925 Nw 130Th Ave Apt 329 , Sunrise FL 33323-3075. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Assistant, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Agredo, Monica can be contacted via phone (954) 937-9559.

Contact Information

Primary practice address
2925 Nw 130Th Ave Apt 329 Sunrise FL 33323-3075
Phone: (954) 937-9559
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Assistant 2355S0801X SI4653 Florida
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X A263540935500 Florida

Profile Details

NPI number 1649773474
LBN Legal business name Agredo, Monica
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 18th, 2018
Last updated Jan 5th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649773474 NPPES
Florida MEDICAID 024317100

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