Gaines, Katonya

Gaines, Katonya is an individual health care provider with primary practice located at 40 Cobden St 3, Roxbury MA 02119-1304. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Gaines, Katonya can be contacted via phone (617) 216-7478.

Contact Information

Primary practice address
40 Cobden St 3 Roxbury MA 02119-1304
Phone: (617) 216-7478
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X

Profile Details

NPI number 1316218902
LBN Legal business name Gaines, Katonya
Credentials Master of Education (MED)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2012
Last updated Jan 13th, 2012 - about 12 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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