Miles, Ethan Jon

Miles, Ethan Jon is an individual health care provider with primary practice located at 7441 114Th Ave Ste 604 , Largo FL 33773-5124. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Miles, Ethan Jon can be contacted via phone (727) 492-5369.

Contact Information

Primary practice address
7441 114Th Ave Ste 604 Largo FL 33773-5124
Phone: (727) 492-5369
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X Florida

Profile Details

NPI number 1992235931
LBN Legal business name Miles, Ethan Jon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2017
Last updated Nov 18th, 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.

Request for update

Popular Providers