Pruitt, Tawana Diane

Pruitt, Tawana Diane is an sole proprietor health care provider with primary practice located at 2193 Raven Cir , Lithonia GA 30058-1845. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Nurse's Aide, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Pruitt, Tawana Diane can be contacted via phone (678) 588-0605.

Contact Information

Primary practice address
2193 Raven Cir Lithonia GA 30058-1845
Phone: (678) 588-0605
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nurse's Aide 376K00000X CN0030006144 Georgia
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-18-62026 Georgia

Profile Details

NPI number 1497318786
LBN Legal business name Pruitt, Tawana Diane
Credentials MPA, RBT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 22nd, 2019
Last updated Aug 16th, 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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