Mathis, Bianca

Mathis, Bianca is an individual health care provider with primary practice located at 1455 Old Alabama Rd Ste 195 , Roswell GA 30076-2129. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Mathis, Bianca can be contacted via phone (678) 940-1367.

Contact Information

Primary practice address
1455 Old Alabama Rd Ste 195 Roswell GA 30076-2129
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-19-93941

Profile Details

NPI number 1841822038
LBN Legal business name Mathis, Bianca
Credentials RBT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2020
Last updated Feb 6th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1841822038 NPPES
Other RBT-19-93941 CERTIFICATE

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