Champagne, Shavon

Champagne, Shavon is an individual health care provider with primary practice located at 2206 Executive Dr Ste A , Hampton VA 23666-2583. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Champagne, Shavon can be contacted via phone (757) 664-9778.

Contact Information

Primary practice address
2206 Executive Dr Ste A Hampton VA 23666-2583
Phone: (757) 664-9778
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1932690070
LBN Legal business name Champagne, Shavon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2018
Last updated Feb 18th, 2024 - about 9 months 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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