Manda, Beverly

Manda, Beverly is an individual health care provider with primary practice located at 175 Middle St , Lake Mary FL 32746-3625. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Manda, Beverly can be contacted via phone (407) 955-4001.

Contact Information

Primary practice address
175 Middle St Lake Mary FL 32746-3625
Phone: (407) 955-4001
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1528504594
LBN Legal business name Manda, Beverly
Credentials M.A., ED.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2017
Last updated Jan 13th, 2017 - about 9 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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