Tennyson, Katlyn

Tennyson, Katlyn is an individual health care provider with primary practice located at 7001 E Fish Lake Rd , Maple Grove MN 55311-2841. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Tennyson, Katlyn can be contacted via phone (508) 768-8008.

Contact Information

Primary practice address
7001 E Fish Lake Rd Maple Grove MN 55311-2841
Phone: (508) 768-8008
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 2950-MH-B1 Massachusetts
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-19-38331 Minnesota

Profile Details

NPI number 1538721022
LBN Legal business name Tennyson, Katlyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2019
Last updated Oct 24th, 2023 - about 2 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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