Anderson, Autumn Rose
Anderson, Autumn Rose is an sole proprietor health care provider with primary practice located at 2549 North Stokesberry Place , Meridian ID 83646. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Anderson, Autumn Rose can be contacted via phone (208) 918-4665.Contact Information
Primary practice address
2549 North Stokesberry Place
Meridian ID 83646
Phone: (208) 918-4665
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | 12685 | Idaho |
Profile Details
| NPI number | 1770229544 |
|---|---|
| LBN Legal business name | Anderson, Autumn Rose |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 5th, 2022 |
| Last updated | May 5th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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