Davis, Carolin

Davis, Carolin is an individual health care provider with primary practice located at 5306 Creekmur Dr , Lakeland FL 33812-4012. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Davis, Carolin can be contacted via phone (863) 777-0640.

Contact Information

Primary practice address
5306 Creekmur Dr Lakeland FL 33812-4012
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 11622830 Florida

Profile Details

NPI number 1073964474
LBN Legal business name Davis, Carolin
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2016
Last updated Feb 26th, 2025 - about last year

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 1073964474 NPPES
Florida MEDICAID 019674300

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