Malcore, Katelyn Marissa
Malcore, Katelyn Marissa is an individual health care provider with primary practice located at 9120 Springbrook Dr Nw , Coon Rapids MN 55433-5845. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Malcore, Katelyn Marissa can be contacted via phone (952) 767-7222.Contact Information
Primary practice address
9120 Springbrook Dr Nw
Coon Rapids MN 55433-5845
Phone: (952) 767-7222
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | ||
Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-23-68595 | Minnesota |
Profile Details
NPI number | 1184182289 |
---|---|
LBN Legal business name | Malcore, Katelyn Marissa |
Credentials | MS, BCBA |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 7th, 2019 |
Last updated | Oct 11th, 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.
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