Smith, Susan
Smith, Susan is an individual health care provider with primary practice located at 247 Sw Port St Lucie Blvd , Port St Lucie FL 34984-5015. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Assistant Behavior Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Smith, Susan can be contacted via phone (772) 207-1356.Contact Information
Primary practice address
247 Sw Port St Lucie Blvd
Port St Lucie FL 34984-5015
Phone: (772) 207-1356
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | ||
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-23-63689 | Florida |
| Behavioral Health & Social Service Providers / Assistant Behavior Analyst | 106E00000X | Florida |
Profile Details
| NPI number | 1033602784 |
|---|---|
| LBN Legal business name | Smith, Susan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2018 |
| Last updated | Jan 20th, 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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