Kent, Larissa Roxane
Kent, Larissa Roxane is an sole proprietor health care provider with primary practice located at 3120 Old Faithful Rd Ste 100 , Cheyenne WY 82001-5890. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Kent, Larissa Roxane can be contacted via phone (307) 369-1410.Contact Information
Primary practice address
3120 Old Faithful Rd Ste 100
Cheyenne WY 82001-5890
Phone: (307) 369-1410
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1003433780 |
|---|---|
| LBN Legal business name | Kent, Larissa Roxane |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 29th, 2020 |
| Last updated | Jun 29th, 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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