Roark, Alia

Roark, Alia is an individual health care provider with primary practice located at 308 Horton St Ste B , Grayson KY 41143-1599. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Roark, Alia can be contacted via phone (270) 283-3845.

Contact Information

Primary practice address
308 Horton St Ste B Grayson KY 41143-1599
Fax:
Website:

Health care specialties

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

Profile Details

NPI number 1619613569
LBN Legal business name Roark, Alia
Credentials BA, RBT
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2022
Last updated May 12th, 2022 - about 4 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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