Peavey, Vivian

Peavey, Vivian is an individual health care provider with primary practice located at 806 W Beacon Rd , Lakeland FL 33803-2847. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Assistant Behavior Analyst. Behavioral Health & Social Service Providers / Assistant Behavior Analyst is her primary health care specialty. Peavey, Vivian can be contacted via phone (863) 220-1205.

Contact Information

Primary practice address
806 W Beacon Rd Lakeland FL 33803-2847
Fax:
Website:

Health care specialties

Profile Details

NPI number 1487287652
LBN Legal business name Peavey, Vivian
Credentials BCABA
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2020
Last updated Aug 20th, 2025 - about last year

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 1487287652 NPPES
Florida MEDICAID 106855700

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