Bonaventure, Fabienne

Bonaventure, Fabienne is an sole proprietor health care provider with primary practice located at 13014 5Th St , Bowie MD 20720. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Bonaventure, Fabienne can be contacted via phone (301) 543-0960.

Contact Information

Primary practice address
13014 5Th St Bowie MD 20720
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X OTA100000305 District of Columbia

Profile Details

NPI number 1538652227
LBN Legal business name Bonaventure, Fabienne
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2018
Last updated Jun 7th, 2018 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1538652227 NPPES
Other OTA100000305 N/A

Popular Providers