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
Phone: (678) 940-1367
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1841822038 | NPPES |
Other | RBT-19-93941 | CERTIFICATE |
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