Knudsen, Kelsey

Knudsen, Kelsey is an sole proprietor health care provider with primary practice located at 23151 Verdugo Dr Ste 113 , Laguna Hills CA 92653-1340. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Knudsen, Kelsey can be contacted via phone (714) 369-9511.

Contact Information

Primary practice address
23151 Verdugo Dr Ste 113 Laguna Hills CA 92653-1340
Phone: (714) 369-9511
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X BACB410960 California

Profile Details

NPI number 1376059378
LBN Legal business name Knudsen, Kelsey
Credentials RBT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 2017
Last updated Dec 28th, 2017 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1376059378 NPPES
California Other XED905180879 BLUE SHIELD

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