Gude, Qwenton

Gude, Qwenton is an individual health care provider with primary practice located at 8001 Beaty Grove Dr , Tampa FL 33626-1602. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Other Service Providers / Community Health Worker. Behavioral Health & Social Service Providers / Behavior Technician is his primary health care specialty. Gude, Qwenton can be contacted via phone (813) 403-0993.

Contact Information

Primary practice address
8001 Beaty Grove Dr Tampa FL 33626-1602
Phone: (813) 403-0993
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-19-77677 Illinois
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1629505151
LBN Legal business name Gude, Qwenton
Credentials RBT
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2017
Last updated Dec 17th, 2020 - about 6 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 1629505151 NPPES
Florida MEDICAID G300711964190

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