Wade, Lisa

Wade, Lisa is an individual health care provider with primary practice located at 136 Rotunda Dr , Jupiter FL 33477-7304. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Wade, Lisa can be contacted via phone (917) 626-6399.

Contact Information

Primary practice address
136 Rotunda Dr Jupiter FL 33477-7304
Phone: (917) 626-6399
Fax: (407) 842-7921
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X New York

Profile Details

NPI number 1124265186
LBN Legal business name Wade, Lisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2009
Last updated Jan 13th, 2009 - about 17 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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