| Kavana Care Nc Llc | |
|
555 S Mangum St Durham NC 27701-4688 | |
| (516) 371-9500 | |
| Not Available |
| Full Name | Kavana Care Nc Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 555 S Mangum St, Durham, North Carolina |
| Authorized Official Name and Position | Samuel Tennenbaum (SOLE MBR) |
| Authorized Official Contact | 5163719500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kavana Care Nc Llc 555 S Mangum St Ste 100 Durham NC 27701-4689 Ph: (516) 371-9500 | Kavana Care Nc Llc 555 S Mangum St Durham NC 27701-4688 Ph: (516) 371-9500 |
| NPI Number | 1326939323 |
|---|---|
| Provider Enumeration Date | 07/09/2025 |
| Last Update Date | 07/09/2025 |
| Certification Date | 07/02/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326939323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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