Broadwell, Katherine Lindsey

Broadwell, Katherine Lindsey is an individual health care provider with primary practice located at 2740 Saint Andrews Dr , Murfreesboro TN 37128-6684. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Broadwell, Katherine Lindsey can be contacted via phone (615) 632-2003.

Contact Information

Primary practice address
2740 Saint Andrews Dr Murfreesboro TN 37128-6684
Phone: (615) 632-2003
Fax: (317) 520-8200
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-19-40322 Colorado
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1253 Tennessee

Profile Details

NPI number 1073028080
LBN Legal business name Broadwell, Katherine Lindsey
Credentials M.ED., BCBA, LBA
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2017
Last updated Mar 8th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1073028080 NPPES
Tennessee MEDICAID Q083343

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