Bourdo-Moulder, Kristina Ann

Bourdo-Moulder, Kristina Ann is an individual health care provider with primary practice located at 2814 Woodcliff Cir Se , Grand Rapids MI 49506-3155. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Technologists, Technicians & Other Technical Service Providers / Technician, Other, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Bourdo-Moulder, Kristina Ann can be contacted via phone (855) 832-6727.

Contact Information

Primary practice address
2814 Woodcliff Cir Se Grand Rapids MI 49506-3155
Phone: (855) 832-6727
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1609320811
LBN Legal business name Bourdo-Moulder, Kristina Ann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2016
Last updated Feb 17th, 2023 - 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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