Davis, Antwanette

Davis, Antwanette is an individual health care provider with primary practice located at 2404 W 8Th St , Coffeyville KS 67337-2931. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Davis, Antwanette can be contacted via phone (913) 213-0676.

Contact Information

Primary practice address
2404 W 8Th St Coffeyville KS 67337-2931
Phone: (913) 213-0676
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1689319600
LBN Legal business name Davis, Antwanette
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2022
Last updated May 3rd, 2022 - about 3 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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