Davis, Darryl Antonio
Davis, Darryl Antonio is an individual health care provider with primary practice located at 12731 Marblestone Dr , Woodbridge VA 22192-8333. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Davis, Darryl Antonio can be contacted via phone (571) 589-0201.Contact Information
Primary practice address
12731 Marblestone Dr
Woodbridge VA 22192-8333
Phone: (571) 589-0201
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1255971073 |
|---|---|
| LBN Legal business name | Davis, Darryl Antonio |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2020 |
| Last updated | Jan 9th, 2020 - about 6 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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