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Contact Information

CORNEISHA BLISSETT
1398 SW 160TH AVE STE 401
SUNRISE, FL33326-1905
 Phone: 855-444-5664
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
 

Counselor

101Y00000X
 

Family

103TF0000X 62 Psychologist, Clinical
 

School

103TS0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for CORNEISHA BLISSETT · (Female)

NPI Number 1295549798
Status Active
Credentials
Entity Individual
Enumeration date 02/04/2025
Last updated 02/04/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • AL License # 987456A
  • LA License # 1234
  • LA License # 5894
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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