Ingram, Shatavia

Ingram, Shatavia is an individual health care provider with primary practice located at 714 Carolina Ave , North Augusta SC 29841-3434. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Ingram, Shatavia can be contacted via phone (706) 842-5330.

Contact Information

Primary practice address
714 Carolina Ave North Augusta SC 29841-3434
Phone: (706) 842-5330
Fax: (706) 842-5340
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-21-191566 South Carolina

Profile Details

NPI number 1306501358
LBN Legal business name Ingram, Shatavia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2021
Last updated Nov 4th, 2021 - 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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