Davis, Raven Simone

Davis, Raven Simone is an individual health care provider with primary practice located at 901 Caledonia St , La Crosse WI 54603-2616. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Davis, Raven Simone can be contacted via phone (608) 785-4100.

Contact Information

Primary practice address
901 Caledonia St La Crosse WI 54603-2616
Phone: (608) 785-4100
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1649966920
LBN Legal business name Davis, Raven Simone
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2023
Last updated Apr 11th, 2023 - about 2 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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