Masrelian, Kirsten Lynne
Masrelian, Kirsten Lynne is an individual health care provider with primary practice located at 2073 Lawrence Dr , De Pere WI 54115. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Masrelian, Kirsten Lynne can be contacted via phone (920) 351-3027.Contact Information
Primary practice address
2073 Lawrence Dr
De Pere WI 54115
Phone: (920) 351-3027
Fax: (920) 351-3043
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1518473966 |
|---|---|
| LBN Legal business name | Masrelian, Kirsten Lynne |
| Credentials | BCBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 21st, 2017 |
| Last updated | Aug 15th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518473966 | NPPES |
| Wisconsin | MEDICAID | 100049431 |
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