Larry, Shante
Larry, Shante is an individual health care provider with primary practice located at 3070 Business Park Dr Ste 5 , Norcross GA 30071-5404. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Larry, Shante can be contacted via phone (770) 884-1050.Contact Information
Primary practice address
3070 Business Park Dr Ste 5
Norcross GA 30071-5404
Phone: (770) 884-1050
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1215523154 |
|---|---|
| LBN Legal business name | Larry, Shante |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 15th, 2020 |
| Last updated | Dec 15th, 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.
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