Frederiksen, Kelly
Frederiksen, Kelly is an individual health care provider with primary practice located at 4196 Douglas Blvd Ste 100 , Granite Bay CA 95746-5904. She recently has only one registered license in Behavioral Health & Social Service Providers / Assistant Behavior Analyst, which is considered as her primary health care specialty. Frederiksen, Kelly can be contacted via phone (916) 489-1376.Contact Information
Primary practice address
4196 Douglas Blvd Ste 100
Granite Bay CA 95746-5904
Phone: (916) 489-1376
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Assistant Behavior Analyst | 106E00000X | California |
Profile Details
| NPI number | 1740815182 |
|---|---|
| LBN Legal business name | Frederiksen, Kelly |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 5th, 2020 |
| Last updated | Mar 5th, 2020 - 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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