Dixon, Rena Shea
Dixon, Rena Shea is an sole proprietor health care provider with primary practice located at 19 Pineway Ave , Mastic Beach NY 11951-1318. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Dixon, Rena Shea can be contacted via phone (860) 797-5554.Contact Information
Primary practice address
19 Pineway Ave
Mastic Beach NY 11951-1318
Phone: (860) 797-5554
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1104608389 |
|---|---|
| LBN Legal business name | Dixon, Rena Shea |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 20th, 2023 |
| Last updated | Oct 20th, 2023 - about 3 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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