Bardsley, Kathleen
Bardsley, Kathleen is an individual health care provider with primary practice located at 1260 Ekhart St Ne , Grand Rapids MI 49503-1380. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Bardsley, Kathleen can be contacted via phone (616) 965-3492.Contact Information
Primary practice address
1260 Ekhart St Ne
Grand Rapids MI 49503-1380
Phone: (616) 965-3492
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-15-19064 | Michigan |
Profile Details
| NPI number | 1033585005 |
|---|---|
| LBN Legal business name | Bardsley, Kathleen |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 13th, 2015 |
| Last updated | Sep 19th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033585005 | NPPES |
| Michigan | Other | 1-15-19064 | BCBA |
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