Sevillano, Judy
Sevillano, Judy is an sole proprietor health care provider with primary practice located at 15489 Dedeaux Rd , Gulfport MS 39503-2667. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Sevillano, Judy can be contacted via phone (228) 357-5671.Contact Information
Primary practice address
15489 Dedeaux Rd
Gulfport MS 39503-2667
Phone: (228) 357-5671
Fax: (228) 357-5708
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | RBT-15-11100 | Mississippi |
Profile Details
| NPI number | 1427626746 |
|---|---|
| LBN Legal business name | Sevillano, Judy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2021 |
| Last updated | Jun 14th, 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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