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
Phone: (318) 450-4911
Fax: (318) 855-4396
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1184193286 | NPPES |
Louisiana | MEDICAID | 1023497062 |
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