Marcellus, Idalie

Marcellus, Idalie is an sole proprietor health care provider with primary practice located at 2904 Nw 48Th St , Tamarac FL 33309-3510. She recently has 2 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Marcellus, Idalie can be contacted via phone (786) 665-0518.

Contact Information

Primary practice address
2904 Nw 48Th St Tamarac FL 33309-3510
Phone: (786) 665-0518
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X M624-400-86-507-0 Florida
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X M624-400-86-507-0 Florida

Profile Details

NPI number 1659985703
LBN Legal business name Marcellus, Idalie
Credentials CERTIFICATE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 5th, 2020
Last updated Dec 19th, 2022 - about 4 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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