Provider Demographics
NPI:1558004929
Name:GIVENS, DEWANNA SHAWN
Entity Type:Individual
Prefix:
First Name:DEWANNA
Middle Name:SHAWN
Last Name:GIVENS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:307 SAWDUST RD # F
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77380-2366
Mailing Address - Country:US
Mailing Address - Phone:346-266-2309
Mailing Address - Fax:
Practice Address - Street 1:307 SAWDUST RD # F
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77380-2366
Practice Address - Country:US
Practice Address - Phone:346-266-2309
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-14
Last Update Date:2022-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician