Tanaka, Kirstie
Tanaka, Kirstie is an individual health care provider with primary practice located at 2703 Se Otis Corley Dr , Bentonville AR 72712-3864. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Tanaka, Kirstie can be contacted via phone (917) 905-0139.Contact Information
Primary practice address
2703 Se Otis Corley Dr
Bentonville AR 72712-3864
Phone: (917) 905-0139
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-21-50902 | California |
Profile Details
| NPI number | 1548833759 |
|---|---|
| LBN Legal business name | Tanaka, Kirstie |
| Credentials | BCBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 23rd, 2021 |
| Last updated | Jul 23rd, 2021 - 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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