Shorts, Donovan K
Shorts, Donovan K is an individual health care provider with primary practice located at 18501 Maple Creek Dr Ste 200185 , Tinley Park IL 60477-5122. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavioral Analyst is his primary health care specialty. Shorts, Donovan K can be contacted via phone (708) 719-4288.Contact Information
Primary practice address
18501 Maple Creek Dr Ste 200185
Tinley Park IL 60477-5122
Phone: (708) 719-4288
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-23-65139 | Illinois |
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1710570106 |
|---|---|
| LBN Legal business name | Shorts, Donovan K |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 16th, 2021 |
| Last updated | Apr 30th, 2023 - about 3 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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