Bouie, Patrea

Bouie, Patrea is an individual health care provider with primary practice located at 999 Redan Trce , Stone Mountain GA 30088-2562. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Bouie, Patrea can be contacted via phone (404) 840-3012.

Contact Information

Primary practice address
999 Redan Trce Stone Mountain GA 30088-2562
Phone: (404) 840-3012
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1356902662
LBN Legal business name Bouie, Patrea
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2019
Last updated Jun 26th, 2019 - about 6 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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