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:
Health care specialties
| Specialty | Code | License # | 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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