Washington, Lena Dijontala Ellanesha

Washington, Lena Dijontala Ellanesha is an sole proprietor health care provider with primary practice located at 4044 E Jimmy Dr , Rocky Face GA 30740-8777. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Washington, Lena Dijontala Ellanesha can be contacted via phone (706) 934-9607.

Contact Information

Primary practice address
4044 E Jimmy Dr Rocky Face GA 30740-8777
Phone: (706) 934-9607
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-22-224558 Georgia

Profile Details

NPI number 1528757556
LBN Legal business name Washington, Lena Dijontala Ellanesha
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2023
Last updated May 4th, 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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