Fant, Prynceston

Fant, Prynceston is an individual health care provider with primary practice located at 1028 E Worthy St , Gonzales LA 70737-4367. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Fant, Prynceston can be contacted via phone (760) 974-6625.

Contact Information

Primary practice address
1028 E Worthy St Gonzales LA 70737-4367
Phone: (760) 974-6625
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1376181826
LBN Legal business name Fant, Prynceston
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2019
Last updated Dec 5th, 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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