Park, Kendra Chantal

Park, Kendra Chantal is an individual health care provider with primary practice located at 5305 Spine Rd Ste A , Boulder CO 80301-3331. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Park, Kendra Chantal can be contacted via phone (720) 643-2350.

Contact Information

Primary practice address
5305 Spine Rd Ste A Boulder CO 80301-3331
Phone: (720) 643-2350
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1235746884
LBN Legal business name Park, Kendra Chantal
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2020
Last updated Sep 28th, 2020 - about 5 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.

Request for update

Popular Providers