| Provider / Organization | NPI | Date Certified |
|---|---|---|
| PAUL BENEDICT SQUEO | 1306413711 | 2021-06-06 |
Paul Benedict Squeo is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1306413711. Registration indicates Paul Benedict Squeo is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, )
| Entity Type | Individual |
| Provider Name | Paul Benedict Squeo RBT |
| Practice Office Address | 6976 PROFESSIONAL PKWY E LAKEWOOD RANCH, FL US |
| Practice Office Telephone | 9412183252 |
| Mailing Address | 300 INTERNATIONAL PARKWAY, SUITE 200 LAKE MARY, FL 327463625 US |
| Business Telephone | 8666100580 |
| Code | Practice | License No State |
|---|---|---|
| 106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician | RBT-21-164060
FL |