Etienne, Wideline

Etienne, Wideline is an sole proprietor health care provider with primary practice located at 1101 Nw 122Nd St , North Miami FL 33168-6352. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Etienne, Wideline can be contacted via phone (786) 803-6180.

Contact Information

Primary practice address
1101 Nw 122Nd St North Miami FL 33168-6352
Phone: (786) 803-6180
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-21-185749 Florida

Profile Details

NPI number 1093471450
LBN Legal business name Etienne, Wideline
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 10th, 2021
Last updated Nov 10th, 2021 - about 5 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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