Powell, Walita
Powell, Walita is an sole proprietor health care provider with primary practice located at 2821 Crow Canyon Road Suite 101, San Ramon CA 94583. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Powell, Walita can be contacted via phone (925) 364-4515.Contact Information
Primary practice address
2821 Crow Canyon Road Suite 101
San Ramon CA 94583
Phone: (925) 364-4515
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1619320181 |
|---|---|
| LBN Legal business name | Powell, Walita |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 19th, 2016 |
| Last updated | Sep 5th, 2018 - about 8 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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