Cockerham, Kewanna Keion

Cockerham, Kewanna Keion is an sole proprietor health care provider with primary practice located at 733 Dante St , New Orleans LA 70118-1013. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Cockerham, Kewanna Keion can be contacted via phone (504) 517-1711.

Contact Information

Primary practice address
733 Dante St New Orleans LA 70118-1013
Phone: (504) 517-1711
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Louisiana

Profile Details

NPI number 1780224394
LBN Legal business name Cockerham, Kewanna Keion
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2020
Last updated Jan 14th, 2020 - about 4 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 1780224394 NPPES
Louisiana MEDICAID 7770000644136203

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