Rendino, Katahdin

Rendino, Katahdin is an individual health care provider with primary practice located at 12443 Lewis St Ste 201 , Garden Grove CA 92840-4650. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Rendino, Katahdin can be contacted via phone (714) 748-4440.

Contact Information

Primary practice address
12443 Lewis St Ste 201 Garden Grove CA 92840-4650
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-18-53633 California

Profile Details

NPI number 1215573266
LBN Legal business name Rendino, Katahdin
Credentials Bachelor of Arts (BA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2019
Last updated Nov 25th, 2019 - 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.

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