Colon, Mariely

Colon, Mariely is an sole proprietor health care provider with primary practice located at 6900 Tavistock Lakes Blvd , Orlando FL 32827-7589. 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. Colon, Mariely can be contacted via phone (407) 541-7965.

Contact Information

Primary practice address
6900 Tavistock Lakes Blvd Orlando FL 32827-7589
Phone: (407) 541-7965
Fax: (407) 307-2328
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 Florida

Profile Details

NPI number 1235475807
LBN Legal business name Colon, Mariely
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2012
Last updated Aug 31st, 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 1235475807 NPPES
Florida MEDICAID 018409700

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