Cannon, Robert Lee

Cannon, Robert Lee is an sole proprietor health care provider with primary practice located at 453 King St , Cocoa FL 32922-7621. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Cannon, Robert Lee can be contacted via phone (321) 633-5511.

Contact Information

Primary practice address
453 King St Cocoa FL 32922-7621
Phone: (321) 633-5511
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-18-72455

Profile Details

NPI number 1811400781
LBN Legal business name Cannon, Robert Lee
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 14th, 2017
Last updated Apr 12th, 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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