Korello, Kisa
Korello, Kisa is an sole proprietor health care provider with primary practice located at 2770 Plymouth Way , San Bruno CA 94066-2731. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Korello, Kisa can be contacted via phone (650) 515-4726.Contact Information
Primary practice address
2770 Plymouth Way
San Bruno CA 94066-2731
Phone: (650) 515-4726
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1013307016 |
|---|---|
| LBN Legal business name | Korello, Kisa |
| Credentials | M.ED., BCBA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 28th, 2015 |
| Last updated | Jan 28th, 2015 - about 9 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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