Gardner, Donovan G

Gardner, Donovan G is an individual health care provider with primary practice located at 1115 14Th St , Modesto CA 95354-1003. He recently has only one registered license in Behavioral Health & Social Service Providers / Assistant Behavior Analyst, which is considered as his primary health care specialty. Gardner, Donovan G can be contacted via phone (209) 572-2589.

Contact Information

Primary practice address
1115 14Th St Modesto CA 95354-1003
Phone: (209) 572-2589
Fax: (209) 572-1461
Website:
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Health care specialties

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

Profile Details

NPI number 1164032314
LBN Legal business name Gardner, Donovan G
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2020
Last updated Aug 3rd, 2020 - about 4 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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