Defebbo, Angela

Defebbo, Angela is an individual health care provider with primary practice located at 1250 Bardstown Rd Ste 15 , Louisville KY 40204-1333. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Defebbo, Angela can be contacted via phone (904) 735-1583.

Contact Information

Primary practice address
1250 Bardstown Rd Ste 15 Louisville KY 40204-1333
Phone: (904) 735-1583
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X Kentucky

Profile Details

NPI number 1053846014
LBN Legal business name Defebbo, Angela
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2017
Last updated Jan 6th, 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 1053846014 NPPES
Florida MEDICAID 019495300

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