Petite, Mariah Antionette

Petite, Mariah Antionette is an individual health care provider with primary practice located at 4002 Meadows Ct , Suffolk VA 23434-8357. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Petite, Mariah Antionette can be contacted via phone (757) 287-0680.

Contact Information

Primary practice address
4002 Meadows Ct Suffolk VA 23434-8357
Phone: (757) 287-0680
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1760057616
LBN Legal business name Petite, Mariah Antionette
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2021
Last updated May 24th, 2021 - about 3 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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