King, Surisa Rozell

King, Surisa Rozell is an individual health care provider with primary practice located at 39201 State St , Fremont CA 94538-1437. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. King, Surisa Rozell can be contacted via phone (866) 206-2008.

Contact Information

Primary practice address
39201 State St Fremont CA 94538-1437
Phone: (866) 206-2008
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1053955971
LBN Legal business name King, Surisa Rozell
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2019
Last updated Nov 4th, 2019 - about 5 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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