Barisa, John Joseph
Barisa, John Joseph is an sole proprietor health care provider with primary practice located at 209 Patricia Rd , Madison AL 35758-1416. He recently has 3 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is his primary health care specialty. Barisa, John Joseph can be contacted via phone (256) 541-2827.Contact Information
Primary practice address
209 Patricia Rd
Madison AL 35758-1416
Phone: (256) 541-2827
Fax: (256) 828-8872
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | 1538 | North Carolina |
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | 1538 | North Carolina |
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1538 | North Carolina |
Profile Details
| NPI number | 1881044162 |
|---|---|
| LBN Legal business name | Barisa, John Joseph |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 16th, 2016 |
| Last updated | Dec 26th, 2018 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881044162 | NPPES |
| North Carolina | MEDICAID | 1083655773 | |
| North Carolina | MEDICAID | 6107232 |
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