Walstrom, Kristen Amanda
Walstrom, Kristen Amanda is an sole proprietor health care provider with primary practice located at 915 Blanco Cir # C , Salinas CA 93901-4450. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Walstrom, Kristen Amanda can be contacted via phone (831) 540-3491.Contact Information
Primary practice address
915 Blanco Cir # C
Salinas CA 93901-4450
Phone: (831) 540-3491
Fax: (831) 998-7682
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1265734230 |
|---|---|
| LBN Legal business name | Walstrom, Kristen Amanda |
| Credentials | M.A., BCBA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 24th, 2010 |
| Last updated | May 29th, 2020 - about 4 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 | 1265734230 | NPPES |
| Other | 1-06-2877 | BOARD CERTIFIED BEHAVIOR ANALYST (BCBA) |
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