Vicuna Blanco, Andre

Vicuna Blanco, Andre is an individual health care provider with primary practice located at 4620 N State Road 7 Ste 300 , Lauderdale Lakes FL 33319-5867. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Vicuna Blanco, Andre can be contacted via phone (185) 583-2672.

Contact Information

Primary practice address
4620 N State Road 7 Ste 300 Lauderdale Lakes FL 33319-5867
Phone: (185) 583-2672
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-19-36868

Profile Details

NPI number 1205374089
LBN Legal business name Vicuna Blanco, Andre
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2017
Last updated Apr 19th, 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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