Sisomphou, Devin

Sisomphou, Devin is an individual health care provider with primary practice located at 6102 82Nd St Ste 10 , Lubbock TX 79424. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Technician, Other, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Sisomphou, Devin can be contacted via phone (806) 993-3333.

Contact Information

Primary practice address
6102 82Nd St Ste 10 Lubbock TX 79424
Phone: (806) 993-3333
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X RBT-17-33360 Texas
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 3032 Texas

Profile Details

NPI number 1508344789
LBN Legal business name Sisomphou, Devin
Credentials BCBA, M.ED, LBA
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2018
Last updated Oct 3rd, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1508344789 NPPES
Texas Other RBT-17-33360 BACB
Texas Other 3032 BACB

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