National Provider Identifier Database

DAVON BENNETT
Community/Behavioral Health

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.


Contact Information

DAVON BENNETT
525 S 10TH ST
NEWARK, NJ07103-1828
Phone: 862-588-1277
Fax:
Website:
Specialty Taxonomy Code
* Community/Behavioral Health 251S00000X
Case Management 251B00000X
Supports Brokerage 251X00000X

* Indicates primary specialty

NPI Profile & details for DAVON BENNETT

NPI Number 1699151977
Credentials
Entity Individual
Enumeration date 08/10/2015
Last updated 08/10/2015 - About 11 years ago
Sole proprietor1 Yes
Identifiers n/a
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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