Davis, Marnesha

Davis, Marnesha is an sole proprietor health care provider with primary practice located at 500 N. 21St Street , Monroe LA 71201. She recently has only one registered license in Behavioral Health & Social Service Providers / Assistant Behavior Analyst, which is considered as her primary health care specialty. Davis, Marnesha can be contacted via phone (318) 450-4911.

Contact Information

Primary practice address
500 N. 21St Street Monroe LA 71201
Fax: (318) 855-4396
Website:

Health care specialties

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

Profile Details

NPI number 1184193286
LBN Legal business name Davis, Marnesha
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 19th, 2018
Last updated Nov 19th, 2018 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1184193286 NPPES
Louisiana MEDICAID 1023497062

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