Mortensen, John
Mortensen, John is an individual health care provider with primary practice located at 175 Industrial Loop S , Orange Park FL 32073-6217. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Mortensen, John can be contacted via phone (904) 269-0773.Contact Information
Primary practice address
175 Industrial Loop S
Orange Park FL 32073-6217
Phone: (904) 269-0773
Fax: (904) 269-9667
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 0-03-0899 | Florida |
Profile Details
| NPI number | 1609315225 |
|---|---|
| LBN Legal business name | Mortensen, John |
| Credentials | BCABA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2017 |
| Last updated | Feb 15th, 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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