Petrullo, Elisa

Petrullo, Elisa is an sole proprietor health care provider with primary practice located at 1475 Collingswood Blvd Ste G , Port Charlotte FL 33948-1059. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Petrullo, Elisa can be contacted via phone (941) 999-4917.

Contact Information

Primary practice address
1475 Collingswood Blvd Ste G Port Charlotte FL 33948-1059
Phone: (941) 999-4917
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1457023236
LBN Legal business name Petrullo, Elisa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 30th, 2021
Last updated Sep 30th, 2021 - about 5 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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