Davon Bennett
Davon Bennett is a Community/Behavioral Health Agency in Newark, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.
- Licensed in
- NJ
- In the registry since
- 2015
- Specialties on file
- 3
Practice location Address checks out
525 S 10th StNewark, NJ 07103-1828
Phone: (862) 588-1277
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Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|---|
| Case Management Agency | Taxonomy 251B00000X (NJ) |
| Supports Brokerage Agency | Taxonomy 251X00000X (NJ) |
Record details
| NPI number | 1699151977 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 10, 2015 |
| Last updated in NPPES | August 10, 2015 |
| Mailing address | 525 S 10th St, Newark, NJ 07103-1828 |
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