Stallworth, Ursula

Stallworth, Ursula is an sole proprietor health care provider with primary practice located at 1260 Lake Blvd Ste 237 , Davis CA 95616-2687. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Health Educator, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Stallworth, Ursula can be contacted via phone (916) 613-0524.

Contact Information

Primary practice address
1260 Lake Blvd Ste 237 Davis CA 95616-2687
Phone: (916) 613-0524
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Health Educator 174H00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 47317 California

Profile Details

NPI number 1720401185
LBN Legal business name Stallworth, Ursula
Credentials C.M.P
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 21st, 2014
Last updated Mar 21st, 2024 - about last year

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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