Ojeda Sanjurjo, Giancarlo

Ojeda Sanjurjo, Giancarlo is an individual health care provider with primary practice located at 2180 Julian Ave Ne , Palm Bay FL 32905-4020. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavior Technician, Technologists, Technicians & Other Technical Service Providers / Technician, Other. Behavioral Health & Social Service Providers / Assistant Behavior Analyst is his primary health care specialty. Ojeda Sanjurjo, Giancarlo can be contacted via phone (321) 372-6813.

Contact Information

Primary practice address
2180 Julian Ave Ne Palm Bay FL 32905-4020
Phone: (321) 372-6813
Fax: (321) 765-6434
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X 0-20-11159 Florida
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-17-32968 Florida
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1215489901
LBN Legal business name Ojeda Sanjurjo, Giancarlo
Credentials BCABA
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2016
Last updated Jul 8th, 2020 - about 6 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 1215489901 NPPES
Florida MEDICAID 022064200

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