Shirley, Bridgett Roxanne

Shirley, Bridgett Roxanne is an sole proprietor health care provider with primary practice located at 2185 Claxton Dairy Rd Apt 2 , Dublin GA 31021-4496. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Shirley, Bridgett Roxanne can be contacted via phone (478) 278-1751.

Contact Information

Primary practice address
2185 Claxton Dairy Rd Apt 2 Dublin GA 31021-4496
Phone: (478) 278-1751
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-23-306158 Georgia

Profile Details

NPI number 1780456707
LBN Legal business name Shirley, Bridgett Roxanne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 24th, 2023
Last updated Oct 24th, 2023 - about 3 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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