Davis, Laila Michelle

Davis, Laila Michelle is an individual health care provider with primary practice located at 19251 Mack Ave , Grosse Pointe Woods MI 48236-2893. 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, Laila Michelle can be contacted via phone (313) 343-1370.

Contact Information

Primary practice address
19251 Mack Ave Grosse Pointe Woods MI 48236-2893
Phone: (313) 343-1370
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1861190928
LBN Legal business name Davis, Laila Michelle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2023
Last updated Feb 20th, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1861190928 NPPES
Michigan Other D120488603420 IDENTIFICATION CARD

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