Chavez, Donna

Chavez, Donna is an sole proprietor health care provider with primary practice located at 6836 Isaac'S Orchard Rd , Springdale AR 72762. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Chavez, Donna can be contacted via phone (479) 927-4100.

Contact Information

Primary practice address
6836 Isaac'S Orchard Rd Springdale AR 72762
Fax:
Website:

Health care specialties

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

Profile Details

NPI number 1336886787
LBN Legal business name Chavez, Donna
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2022
Last updated May 17th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1336886787 NPPES
Arkansas MEDICAID 278688706

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