Davis, Evan

Davis, Evan is an sole proprietor health care provider with primary practice located at 1408 Nw 6Th St , Gainesville FL 32601-4020. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is his primary health care specialty. Davis, Evan can be contacted via phone (352) 373-4411.

Contact Information

Primary practice address
1408 Nw 6Th St Gainesville FL 32601-4020
Phone: (352) 373-4411
Fax: (352) 373-4455
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1851836332
LBN Legal business name Davis, Evan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 20th, 2016
Last updated Apr 18th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851836332 NPPES
Florida MEDICAID 019803200

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