Ivy, Letetia

Ivy, Letetia is an individual health care provider with primary practice located at 1404 Gascho Dr , Dayton OH 45410-3305. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Ivy, Letetia can be contacted via phone (937) 252-7500.

Contact Information

Primary practice address
1404 Gascho Dr Dayton OH 45410-3305
Phone: (937) 252-7500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1134799273
LBN Legal business name Ivy, Letetia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2021
Last updated Jun 30th, 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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