Kimbrell, Alesha Ann
Kimbrell, Alesha Ann is an individual health care provider with primary practice located at 5220 N Dysart Rd Bldg C , Litchfield Park AZ 85340-3045. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Kimbrell, Alesha Ann can be contacted via phone (623) 244-9179.Contact Information
Primary practice address
5220 N Dysart Rd Bldg C
Litchfield Park AZ 85340-3045
Phone: (623) 244-9179
Fax: (317) 520-8200
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-22-61362 | Arizona |
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | BEH-001039 | Arizona |
Profile Details
| NPI number | 1043927353 |
|---|---|
| LBN Legal business name | Kimbrell, Alesha Ann |
| Credentials | MS, BCBA, LBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 4th, 2022 |
| Last updated | Apr 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043927353 | NPPES |
| Other | 1-22-61362 | BACB CERTIFICATION |
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