White, Raven

White, Raven is an individual health care provider with primary practice located at 1100 Red Banks Rd , Greenville NC 27858-5205. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. White, Raven can be contacted via phone (252) 689-6645.

Contact Information

Primary practice address
1100 Red Banks Rd Greenville NC 27858-5205
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-18-56205 North Carolina

Profile Details

NPI number 1033601620
LBN Legal business name White, Raven
Credentials RBT
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2018
Last updated May 31st, 2018 - about 8 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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