Black, Kristen
Black, Kristen is an individual health care provider with primary practice located at 385 Nail Rd Apt N162 , Southaven MS 38671-7279. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Black, Kristen can be contacted via phone (901) 267-3497.Contact Information
Primary practice address
385 Nail Rd Apt N162
Southaven MS 38671-7279
Phone: (901) 267-3497
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1245096239 |
|---|---|
| LBN Legal business name | Black, Kristen |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2024 |
| Last updated | Feb 27th, 2024 - about last year |
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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