Hallmon, Donta Nicole
Hallmon, Donta Nicole is an sole proprietor health care provider with primary practice located at 756 W Peachtree St Nw Fl 4 , Atlanta GA 30308-2378. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Hallmon, Donta Nicole can be contacted via phone (762) 622-8360.Contact Information
Primary practice address
756 W Peachtree St Nw Fl 4
Atlanta GA 30308-2378
Phone: (762) 622-8360
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-21-53225 | Georgia |
Profile Details
| NPI number | 1336504455 |
|---|---|
| LBN Legal business name | Hallmon, Donta Nicole |
| Credentials | BCBA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 16th, 2015 |
| Last updated | Oct 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336504455 | NPPES |
| Georgia | MEDICAID | 003259448P | |
| Georgia | MEDICAID | 003259448G |
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