Ducre, Kendrick Dornell

Ducre, Kendrick Dornell is an individual health care provider with primary practice located at 2121 New Market Pkwy Se Ste 130 , Marietta GA 30067-9309. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Ducre, Kendrick Dornell can be contacted via phone (678) 486-1911.

Contact Information

Primary practice address
2121 New Market Pkwy Se Ste 130 Marietta GA 30067-9309
Phone: (678) 486-1911
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-19-106295 Georgia

Profile Details

NPI number 1689212714
LBN Legal business name Ducre, Kendrick Dornell
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2019
Last updated Dec 19th, 2019 - about 7 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 1689212714 NPPES
Georgia Other RBT-19-106295 RBT CERTIFICATE

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