Larocque, Mae
Larocque, Mae is an individual health care provider with primary practice located at 6413 Quince Rd , Memphis TN 38119-8219. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Larocque, Mae can be contacted via phone (901) 690-5213.Contact Information
Primary practice address
6413 Quince Rd
Memphis TN 38119-8219
Phone: (901) 690-5213
Fax: (901) 666-8440
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | RBT-19-106916 | Tennessee |
Profile Details
| NPI number | 1376145359 |
|---|---|
| LBN Legal business name | Larocque, Mae |
| Credentials | RBT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 13th, 2020 |
| Last updated | Nov 13th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376145359 | NPPES |
| Tennessee | Other | RBT-19-106916 | REGISTERED BEHAVIOR TECHNICIAN |
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