Puckett, Evan

Puckett, Evan is an individual health care provider with primary practice located at 780 Lynnhaven Pkwy Suite 400, Virginia Beach VA 23452-7332. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Puckett, Evan can be contacted via phone (888) 880-9270.

Contact Information

Primary practice address
780 Lynnhaven Pkwy Suite 400 Virginia Beach VA 23452-7332
Phone: (888) 880-9270
Fax:
Website:
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Health care specialties

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

Profile Details

NPI number 1558805879
LBN Legal business name Puckett, Evan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2016
Last updated Dec 5th, 2016 - about 10 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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