Bohlke, Kellie

Bohlke, Kellie is an individual health care provider with primary practice located at 521 38Th Ave , Santa Cruz CA 95062-5524. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Bohlke, Kellie can be contacted via phone (952) 457-3963.

Contact Information

Primary practice address
521 38Th Ave Santa Cruz CA 95062-5524
Phone: (952) 457-3963
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 12041212 California

Profile Details

NPI number 1578032629
LBN Legal business name Bohlke, Kellie
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2018
Last updated Dec 18th, 2024 - 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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