Anderson, Lisa Michelle

Anderson, Lisa Michelle is an sole proprietor health care provider with primary practice located at 10850 S Us Highway 1 Ste 2 , Port St Lucie FL 34952-6407. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Anderson, Lisa Michelle can be contacted via phone (772) 463-0444.

Contact Information

Primary practice address
10850 S Us Highway 1 Ste 2 Port St Lucie FL 34952-6407
Phone: (772) 463-0444
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1669987061
LBN Legal business name Anderson, Lisa Michelle
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 6th, 2017
Last updated Dec 6th, 2017 - about 9 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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