Davis, Lavontre

Davis, Lavontre is an individual health care provider with primary practice located at 3921 Pintail Dr Ste B , Springfield IL 62711-6738. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Davis, Lavontre can be contacted via phone (217) 572-2286.

Contact Information

Primary practice address
3921 Pintail Dr Ste B Springfield IL 62711-6738
Phone: (217) 572-2286
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1275126930
LBN Legal business name Davis, Lavontre
Credentials BEHAVIOR THERAPIST
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2021
Last updated Feb 14th, 2021 - about 4 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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