Cardoza, Jessica Jean

Cardoza, Jessica Jean is an sole proprietor health care provider with primary practice located at 2139 W State Road 434 Ste 102 , Longwood FL 32779-5019. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Cardoza, Jessica Jean can be contacted via phone (407) 325-4726.

Contact Information

Primary practice address
2139 W State Road 434 Ste 102 Longwood FL 32779-5019
Phone: (407) 325-4726
Fax: (407) 612-2359
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1023358702
LBN Legal business name Cardoza, Jessica Jean
Credentials M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 18th, 2013
Last updated Jun 4th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023358702 NPPES
Florida MEDICAID 116426900
Florida MEDICAID 019191200

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