Bencosme Santiesteban, Idamaris
Bencosme Santiesteban, Idamaris is an sole proprietor health care provider with primary practice located at 4801 S University Dr Ste 130 , Davie FL 33328-3832. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Bencosme Santiesteban, Idamaris can be contacted via phone (954) 592-8659.Contact Information
Primary practice address
4801 S University Dr Ste 130
Davie FL 33328-3832
Phone: (954) 592-8659
Fax: (561) 516-8183
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | RBT-23-312599 | Florida |
Profile Details
| NPI number | 1174391387 |
|---|---|
| LBN Legal business name | Bencosme Santiesteban, Idamaris |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 18th, 2023 |
| Last updated | Dec 18th, 2023 - about 3 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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