Avery, Derrien Shayla
Avery, Derrien Shayla is an individual health care provider with primary practice located at 2541 Pass Rd Ste A , Biloxi MS 39531-2112. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Avery, Derrien Shayla can be contacted via phone (850) 607-6910.Contact Information
Primary practice address
2541 Pass Rd Ste A
Biloxi MS 39531-2112
Phone: (850) 607-6910
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1508556242 |
|---|---|
| LBN Legal business name | Avery, Derrien Shayla |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2023 |
| Last updated | May 8th, 2023 - about 2 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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