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
Phone: (305) 613-1681
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669825980 | NPPES |
| Florida | MEDICAID | 018233900 |
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