Individual
DIONNE PRUITT
Active
Individual
DIONNE PRUITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
—
—
222Q00000X
Developmental Therapist
—
—
225800000X
Recreation Therapist
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
10/22/2014
Last updated
03/31/2016
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