Christian, Dale

Christian, Dale is an sole proprietor health care provider with primary practice located at 1825 Nw 167Th St Suite #102, Miami Gardens FL 33056-4838. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Christian, Dale can be contacted via phone (305) 624-7450.

Contact Information

Primary practice address
1825 Nw 167Th St Suite #102 Miami Gardens FL 33056-4838
Phone: (305) 624-7450
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1578841516
LBN Legal business name Christian, Dale
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 2011
Last updated Jul 25th, 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 1578841516 NPPES
Florida MEDICAID ISW 4466

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