Cloos Vahey, Lilliana

Cloos Vahey, Lilliana is an sole proprietor health care provider with primary practice located at 1650 W Main St Ste 1 , Leesburg FL 34748-2842. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Cloos Vahey, Lilliana can be contacted via phone (352) 314-3760.

Contact Information

Primary practice address
1650 W Main St Ste 1 Leesburg FL 34748-2842
Fax: (352) 314-2909
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-21-171874 Florida

Profile Details

NPI number 1154074391
LBN Legal business name Cloos Vahey, Lilliana
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 28th, 2022
Last updated Jan 28th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1154074391 NPPES
Florida MEDICAID 111618300

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