Collazos Woolnough, Yairy Marcela
Collazos Woolnough, Yairy Marcela is an sole proprietor health care provider with primary practice located at 444 Nw 1St Ave Apt 403 , Fort Lauderdale FL 33301-8204. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Personal Care Attendant, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Collazos Woolnough, Yairy Marcela can be contacted via phone (754) 208-9829.Contact Information
Primary practice address
444 Nw 1St Ave Apt 403
Fort Lauderdale FL 33301-8204
Phone: (754) 208-9829
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Personal Care Attendant | 3747P1801X | ||
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | RBT-17-38869 | Florida |
Profile Details
| NPI number | 1649685926 |
|---|---|
| LBN Legal business name | Collazos Woolnough, Yairy Marcela |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 25th, 2014 |
| Last updated | Mar 23rd, 2019 - about 7 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 | 1649685926 | NPPES |
| Florida | MEDICAID | 009870100 |
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