Antonelli, Paula Maria

Antonelli, Paula Maria is an sole proprietor health care provider with primary practice located at 1887 Se Port St Lucie Blvd , Port St Lucie FL 34952-5530. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Antonelli, Paula Maria can be contacted via phone (772) 463-0444.

Contact Information

Primary practice address
1887 Se Port St Lucie Blvd Port St Lucie FL 34952-5530
Phone: (772) 463-0444
Fax: (772) 219-1339
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-04-1692 Florida

Profile Details

NPI number 1265690952
LBN Legal business name Antonelli, Paula Maria
Credentials MS, BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 29th, 2008
Last updated Sep 30th, 2022 - about 4 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 1265690952 NPPES
Florida MEDICAID 021534300
Florida Other 1-04-1692

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