Lively, Pamela D

Lively, Pamela D is an sole proprietor health care provider with primary practice located at 3543 Barrel Springs Dr , Orange Park FL 32073-2238. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Lively, Pamela D can be contacted via phone (904) 517-2010.

Contact Information

Primary practice address
3543 Barrel Springs Dr Orange Park FL 32073-2238
Phone: (904) 517-2010
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-10-7896 Florida

Profile Details

NPI number 1881982759
LBN Legal business name Lively, Pamela D
Credentials BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2011
Last updated Jul 13th, 2011 - about 15 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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