Beck, Bonnie Rae

Beck, Bonnie Rae is an sole proprietor health care provider with primary practice located at 1111 Nw 106Th Ave , Plantation FL 33322-7817. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Agencies / Early Intervention Provider Agency. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Beck, Bonnie Rae can be contacted via phone (954) 370-0778.

Contact Information

Primary practice address
1111 Nw 106Th Ave Plantation FL 33322-7817
Phone: (954) 370-0778
Fax: (954) 370-7956
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA38 Florida
Agencies / Early Intervention Provider Agency 252Y00000X SA38 Florida

Profile Details

NPI number 1669461307
LBN Legal business name Beck, Bonnie Rae
Credentials M.S.CCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2005
Last updated Jun 21st, 2011 - about 15 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 1669461307 NPPES
Florida MEDICAID 880201701
Florida MEDICAID 800201700

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