Petty, Heather

Petty, Heather is an individual health care provider with primary practice located at 1924 Edenfield Ln , Statesboro GA 30461-7222. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Petty, Heather can be contacted via phone (912) 536-4337.

Contact Information

Primary practice address
1924 Edenfield Ln Statesboro GA 30461-7222
Phone: (912) 536-4337
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1326646175
LBN Legal business name Petty, Heather
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2020
Last updated Oct 14th, 2020 - about 6 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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