Davis, Sabrina Marie

Davis, Sabrina Marie is an individual health care provider with primary practice located at 7110 Old Spring St , Mount Pleasant WI 53406-3305. 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, Sabrina Marie can be contacted via phone (262) 671-5015.

Contact Information

Primary practice address
7110 Old Spring St Mount Pleasant WI 53406-3305
Fax:
Website:

Health care specialties

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

Profile Details

NPI number 1912588443
LBN Legal business name Davis, Sabrina Marie
Credentials RBT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2021
Last updated Apr 21st, 2021 - about 5 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 1912588443 NPPES
Wisconsin MEDICAID 100102276

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