Gonzalez, Caitlin Angelica
Gonzalez, Caitlin Angelica is an sole proprietor health care provider with primary practice located at 299 Hallock Ave , Port Jefferson Station NY 11776-1217. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Gonzalez, Caitlin Angelica can be contacted via phone (631) 473-4284.Contact Information
Primary practice address
299 Hallock Ave
Port Jefferson Station NY 11776-1217
Phone: (631) 473-4284
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1932619541 |
|---|---|
| LBN Legal business name | Gonzalez, Caitlin Angelica |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 9th, 2017 |
| Last updated | Dec 12th, 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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