Linares, Kaelyn Phommavong

Linares, Kaelyn Phommavong is an sole proprietor health care provider with primary practice located at 6505 Shiloh Rd Ste 100 , Alpharetta GA 30005-1645. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Linares, Kaelyn Phommavong can be contacted via phone (678) 648-7644.

Contact Information

Primary practice address
6505 Shiloh Rd Ste 100 Alpharetta GA 30005-1645
Phone: (678) 648-7644
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-20-128507 Texas
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-20-128507 Georgia

Profile Details

NPI number 1669080255
LBN Legal business name Linares, Kaelyn Phommavong
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2020
Last updated Jun 7th, 2023 - about 3 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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