Davenport, Kaitlyn Macenzie

Davenport, Kaitlyn Macenzie is an individual health care provider with primary practice located at 351 Tenny St , Bloomsburg PA 17815-3264. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Davenport, Kaitlyn Macenzie can be contacted via phone (888) 726-4774.

Contact Information

Primary practice address
351 Tenny St Bloomsburg PA 17815-3264
Phone: (888) 726-4774
Fax: (570) 362-5112
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1801567342
LBN Legal business name Davenport, Kaitlyn Macenzie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2021
Last updated Sep 23rd, 2021 - about 5 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.

Request for update

Popular Providers