Johnson, Raven

Johnson, Raven is an sole proprietor health care provider with primary practice located at 524 Arnold Dr , Daytona Beach FL 32114-5775. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Johnson, Raven can be contacted via phone (386) 569-5055.

Contact Information

Primary practice address
524 Arnold Dr Daytona Beach FL 32114-5775
Phone: (386) 569-5055
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1710360045
LBN Legal business name Johnson, Raven
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2015
Last updated Jul 6th, 2015 - about 9 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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