Anderson, Kendra Vawn

Anderson, Kendra Vawn is an individual health care provider with primary practice located at 1800 N Cole Rd Apt G304 , Boise ID 83704-1304. 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, Kendra Vawn can be contacted via phone (831) 578-3133.

Contact Information

Primary practice address
1800 N Cole Rd Apt G304 Boise ID 83704-1304
Phone: (831) 578-3133
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1396455846
LBN Legal business name Anderson, Kendra Vawn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2022
Last updated Nov 25th, 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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