Guanche, Lisdenia

Guanche, Lisdenia is an sole proprietor health care provider with primary practice located at 21012 Sw 91St Ct , Cutler Bay FL 33189-3894. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Guanche, Lisdenia can be contacted via phone (305) 613-1681.

Contact Information

Primary practice address
21012 Sw 91St Ct Cutler Bay FL 33189-3894
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-15-10639 Florida
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-24-77559 Florida

Profile Details

NPI number 1669825980
LBN Legal business name Guanche, Lisdenia
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 21st, 2016
Last updated Nov 22nd, 2024 - about 2 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 1669825980 NPPES
Florida MEDICAID 018233900

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