Moss, Kaylin Melissa

Moss, Kaylin Melissa is an sole proprietor health care provider with primary practice located at 11907 Sturbridge Ln , Wellington FL 33414-5715. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Moss, Kaylin Melissa can be contacted via phone (561) 301-8330.

Contact Information

Primary practice address
11907 Sturbridge Ln Wellington FL 33414-5715
Phone: (561) 301-8330
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X Florida
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-19-40133 Florida

Profile Details

NPI number 1184075483
LBN Legal business name Moss, Kaylin Melissa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2016
Last updated Mar 29th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1184075483 NPPES
Florida MEDICAID 017975700
Florida MEDICAID 110018700

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