Ward, Laquenda

Ward, Laquenda is an individual health care provider with primary practice located at 4300 Sw 13Th St , Gainesville FL 32608. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Ward, Laquenda can be contacted via phone (352) 374-5600.

Contact Information

Primary practice address
4300 Sw 13Th St Gainesville FL 32608
Phone: (352) 374-5600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1336689157
LBN Legal business name Ward, Laquenda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2017
Last updated Jan 18th, 2019 - about 7 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 1336689157 NPPES
Florida MEDICAID 100168500

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