Villastrigo, Vance

Villastrigo, Vance is an individual health care provider with primary practice located at 700 Airport Rd , Lakewood NJ 08701-5907. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Villastrigo, Vance can be contacted via phone (732) 367-4700.

Contact Information

Primary practice address
700 Airport Rd Lakewood NJ 08701-5907
Phone: (732) 367-4700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X 261QM0801X New Jersey

Profile Details

NPI number 1477280568
LBN Legal business name Villastrigo, Vance
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2022
Last updated Aug 8th, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1477280568 NPPES
New Jersey MEDICAID 0029807

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