Devendorf, Gwyneth

Devendorf, Gwyneth is an sole proprietor health care provider with primary practice located at 2400 Se Federal Hwy Ste 220 , Stuart FL 34994-4556. She recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as her primary health care specialty. Devendorf, Gwyneth can be contacted via phone (954) 934-2699.

Contact Information

Primary practice address
2400 Se Federal Hwy Ste 220 Stuart FL 34994-4556
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X Florida

Profile Details

NPI number 1932694544
LBN Legal business name Devendorf, Gwyneth
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 26th, 2018
Last updated Jun 26th, 2018 - about 7 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 1932694544 NPPES
Florida Other 1225378870 ABA THERAPY SOLUTIONS, LLC

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