Pezant, Keith Maurice

Pezant, Keith Maurice is an individual health care provider with primary practice located at 1053 N Dst , San Bernardino CA 92410. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Pezant, Keith Maurice can be contacted via phone (951) 436-5200.

Contact Information

Primary practice address
1053 N Dst San Bernardino CA 92410
Phone: (951) 436-5200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1073875258
LBN Legal business name Pezant, Keith Maurice
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2012
Last updated Jun 13th, 2012 - about 12 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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