Cordero, Jessica S.

Cordero, Jessica S. is an individual health care provider with primary practice located at 22655 Bayshore Rd , Port Charlotte FL 33980-2018. She recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Speech, Language and Hearing Service Providers / Speech-Language Assistant, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Cordero, Jessica S. can be contacted via phone (239) 351-4787.

Contact Information

Primary practice address
22655 Bayshore Rd Port Charlotte FL 33980-2018
Phone: (239) 351-4787
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X
Speech, Language and Hearing Service Providers / Speech-Language Assistant 2355S0801X SI-4635 Florida
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1215439633
LBN Legal business name Cordero, Jessica S.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2018
Last updated Feb 12th, 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 1215439633 NPPES
Florida MEDICAID 222

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