Monroe, Kori

Monroe, Kori is an individual health care provider with primary practice located at 5566 Martin Luther King St S , St Petersburg FL 33705-5139. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Monroe, Kori can be contacted via phone (727) 434-1828.

Contact Information

Primary practice address
5566 Martin Luther King St S St Petersburg FL 33705-5139
Phone: (727) 434-1828
Fax: (727) 499-7943
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X 820919673 Florida

Profile Details

NPI number 1164954889
LBN Legal business name Monroe, Kori
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2017
Last updated Mar 31st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1164954889 NPPES
Florida MEDICAID 820919673

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