Guerra Rodriguez, Ivelyn
Guerra Rodriguez, Ivelyn is an sole proprietor health care provider with primary practice located at 1508 19Th Ave N # 561 , Lake Worth FL 33460-6064. She recently has 2 registered licenses in different health care specialties including Agencies / Home Health, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Guerra Rodriguez, Ivelyn can be contacted via phone (561) 377-9760.Contact Information
Primary practice address
1508 19Th Ave N # 561
Lake Worth FL 33460-6064
Phone: (561) 377-9760
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Home Health | 251E00000X | ||
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | RBT21-159043 | Florida |
Profile Details
| NPI number | 1245801018 |
|---|---|
| LBN Legal business name | Guerra Rodriguez, Ivelyn |
| Credentials | RBT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 2nd, 2021 |
| Last updated | Aug 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245801018 | NPPES |
| Florida | MEDICAID | 110625000 |
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