Travis, Geneva

Travis, Geneva is an individual health care provider with primary practice located at 10124 W Broad St Ste A , Glen Allen VA 23060-3330. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Travis, Geneva can be contacted via phone (804) 372-0151.

Contact Information

Primary practice address
10124 W Broad St Ste A Glen Allen VA 23060-3330
Phone: (804) 372-0151
Fax: (804) 912-2163
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 0133002753 Virginia

Profile Details

NPI number 1760991889
LBN Legal business name Travis, Geneva
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2017
Last updated Mar 30th, 2023 - 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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