Mathis, Charlena
Mathis, Charlena is an sole proprietor health care provider with primary practice located at 1404 Disston St , Philadelphia PA 19111-4504. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Assistant Behavior Analyst. Behavioral Health & Social Service Providers / Assistant Behavior Analyst is her primary health care specialty. Mathis, Charlena can be contacted via phone (215) 801-5530.Contact Information
Primary practice address
1404 Disston St
Philadelphia PA 19111-4504
Phone: (215) 801-5530
Fax: (215) 801-5530
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | ||
| Behavioral Health & Social Service Providers / Assistant Behavior Analyst | 106E00000X | LABA429 | Nevada |
Profile Details
| NPI number | 1740798818 |
|---|---|
| LBN Legal business name | Mathis, Charlena |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 11th, 2018 |
| Last updated | Nov 17th, 2023 - about 2 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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