Bewley, Kristina Ashlee
Bewley, Kristina Ashlee is an sole proprietor health care provider with primary practice located at 1260 W Bay Dr Ste B , Largo FL 33770-2249. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Bewley, Kristina Ashlee can be contacted via phone (727) 641-0218.Contact Information
Primary practice address
1260 W Bay Dr Ste B
Largo FL 33770-2249
Phone: (727) 641-0218
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-17-28272 | Florida |
Profile Details
| NPI number | 1679019913 |
|---|---|
| LBN Legal business name | Bewley, Kristina Ashlee |
| Credentials | BCBA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 10th, 2017 |
| Last updated | Aug 12th, 2024 - about 2 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 | 1679019913 | NPPES |
| Florida | MEDICAID | 019719700 |
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