Coleman, Deja Monet
Coleman, Deja Monet is an individual health care provider with primary practice located at 3007 Harbor Ln N , Plymouth MN 55447-5103. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Coleman, Deja Monet can be contacted via phone (612) 445-8314.Contact Information
Primary practice address
3007 Harbor Ln N
Plymouth MN 55447-5103
Phone: (612) 445-8314
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
NPI number | 1245904648 |
---|---|
LBN Legal business name | Coleman, Deja Monet |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 9th, 2021 |
Last updated | Aug 9th, 2021 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1245904648 | NPPES |
Minnesota | Other | 103K0000X | BCBA |
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