Mack, Moneta
Mack, Moneta is an sole proprietor health care provider with primary practice located at 60 S Main St Ste B0001 , Brigham City UT 84302-6795. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Mack, Moneta can be contacted via phone (435) 239-8768.Contact Information
Primary practice address
60 S Main St Ste B0001
Brigham City UT 84302-6795
Phone: (435) 239-8768
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
NPI number | 1245905116 |
---|---|
LBN Legal business name | Mack, Moneta |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 12th, 2021 |
Last updated | Aug 12th, 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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