De Jesus, Shade Elizabeth
De Jesus, Shade Elizabeth is an individual health care provider with primary practice located at 6750 N Andrews Ave Ste 200 , Ft Lauderdale FL 33309-2180. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. De Jesus, Shade Elizabeth can be contacted via phone (954) 758-8748.Contact Information
Primary practice address
6750 N Andrews Ave Ste 200
Ft Lauderdale FL 33309-2180
Phone: (954) 758-8748
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | D222785895450 | Florida |
Profile Details
| NPI number | 1861153447 |
|---|---|
| LBN Legal business name | De Jesus, Shade Elizabeth |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 5th, 2022 |
| Last updated | Jan 5th, 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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