Roach, Jovan Andrew
Roach, Jovan Andrew is an sole proprietor health care provider with primary practice located at 2301 Maitland Center Pkwy , Maitland FL 32751-4128. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Roach, Jovan Andrew can be contacted via phone (407) 574-6588.Contact Information
Primary practice address
2301 Maitland Center Pkwy
Maitland FL 32751-4128
Phone: (407) 574-6588
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1700424876 |
|---|---|
| LBN Legal business name | Roach, Jovan Andrew |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 19th, 2019 |
| Last updated | Dec 19th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700424876 | NPPES |
| Florida | Other | R200-421-95-335-1 | DRIVERS LICENCE |
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