Willard, Travis

Willard, Travis is an sole proprietor health care provider with primary practice located at 1477 Nc 24-87 , Cameron NC 28326-6752. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is his primary health care specialty. Willard, Travis can be contacted via phone (910) 484-1711.

Contact Information

Primary practice address
1477 Nc 24-87 Cameron NC 28326-6752
Phone: (910) 484-1711
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X 11250 North Carolina
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-23-69178 North Carolina

Profile Details

NPI number 1124697859
LBN Legal business name Willard, Travis
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 17th, 2021
Last updated Nov 14th, 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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