Bennett, Kaeliegh

Bennett, Kaeliegh is an individual health care provider with primary practice located at 1811 Grand Canal Blvd Ste 2 , Stockton CA 95207-8107. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Bennett, Kaeliegh can be contacted via phone (877) 418-2978.

Contact Information

Primary practice address
1811 Grand Canal Blvd Ste 2 Stockton CA 95207-8107
Phone: (877) 418-2978
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1023527850
LBN Legal business name Bennett, Kaeliegh
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2017
Last updated Aug 17th, 2021 - about 4 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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