Block, Travis

Block, Travis is an sole proprietor health care provider with primary practice located at 11142 N 165Th Dr Apt 113 , Surprise AZ 85388-6652. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Block, Travis can be contacted via phone (574) 309-2970.

Contact Information

Primary practice address
11142 N 165Th Dr Apt 113 Surprise AZ 85388-6652
Phone: (574) 309-2970
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 4033699 Arizona

Profile Details

NPI number 1417199852
LBN Legal business name Block, Travis
Credentials M. ED., ED.S., NCSP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 31st, 2009
Last updated Mar 31st, 2009 - about 16 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.

Request for update

Popular Providers