Holt, Evan Alexander
Holt, Evan Alexander is an individual health care provider with primary practice located at 549 Windchase Ln , Stone Mountain GA 30083-6322. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Holt, Evan Alexander can be contacted via phone (404) 680-5231.Contact Information
Primary practice address
549 Windchase Ln
Stone Mountain GA 30083-6322
Phone: (404) 680-5231
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | Georgia |
Profile Details
| NPI number | 1124798137 |
|---|---|
| LBN Legal business name | Holt, Evan Alexander |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2021 |
| Last updated | Sep 20th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124798137 | NPPES |
| Other | 106S00000X | TAXONOMY |
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