Brockett, Davaughn
Brockett, Davaughn is an sole proprietor health care provider with primary practice located at 554 Bloomfield Ave Fl 4 , Bloomfield NJ 07003-3307. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Brockett, Davaughn can be contacted via phone (973) 771-3300.Contact Information
Primary practice address
554 Bloomfield Ave Fl 4
Bloomfield NJ 07003-3307
Phone: (973) 771-3300
Fax: (973) 679-2784
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-21-50228 | New Jersey |
Profile Details
| NPI number | 1295476182 |
|---|---|
| LBN Legal business name | Brockett, Davaughn |
| Credentials | BCBA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 5th, 2022 |
| Last updated | Apr 5th, 2022 - about 3 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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