Black, Kyrsten Deann

Black, Kyrsten Deann is an individual health care provider with primary practice located at 320 6Th St , Raymond WA 98577-2503. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Black, Kyrsten Deann can be contacted via phone (360) 353-3108.

Contact Information

Primary practice address
320 6Th St Raymond WA 98577-2503
Phone: (360) 353-3108
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1043972623
LBN Legal business name Black, Kyrsten Deann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2021
Last updated Oct 11th, 2021 - 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.

Request for update

Popular Providers