Martin, Destany Shianne

Martin, Destany Shianne is an individual health care provider with primary practice located at 112 N 3Rd St , Leesville LA 71446-4014. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Martin, Destany Shianne can be contacted via phone (337) 239-3336.

Contact Information

Primary practice address
112 N 3Rd St Leesville LA 71446-4014
Phone: (337) 239-3336
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1902477490
LBN Legal business name Martin, Destany Shianne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2021
Last updated Jul 6th, 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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