Moss, Dijanae
Moss, Dijanae is an individual health care provider with primary practice located at 2415 Wall St Se , Conyers GA 30013-6384. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Moss, Dijanae can be contacted via phone (470) 207-8845.Contact Information
Primary practice address
2415 Wall St Se
Conyers GA 30013-6384
Phone: (470) 207-8845
Fax: (317) 520-8200
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-23-68682 | Georgia |
Profile Details
| NPI number | 1245896075 |
|---|---|
| LBN Legal business name | Moss, Dijanae |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2019 |
| Last updated | Oct 12th, 2023 - about 2 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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