Antoine, Octavia
Antoine, Octavia is an individual health care provider with primary practice located at 1155 Concord Rd Se Ste 220 , Smyrna GA 30080-4234. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Antoine, Octavia can be contacted via phone (470) 666-5220.Contact Information
Primary practice address
1155 Concord Rd Se Ste 220
Smyrna GA 30080-4234
Phone: (470) 666-5220
Fax: (470) 509-4895
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1669011516 |
|---|---|
| LBN Legal business name | Antoine, Octavia |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 24th, 2019 |
| Last updated | Jan 22nd, 2020 - about 5 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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