Camp, Kristina Marie

Camp, Kristina Marie is an individual health care provider with primary practice located at 3581 Nw Treasure Coast Dr Apt 104 , Jensen Beach FL 34957-4409. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Camp, Kristina Marie can be contacted via phone (772) 209-1362.

Contact Information

Primary practice address
3581 Nw Treasure Coast Dr Apt 104 Jensen Beach FL 34957-4409
Phone: (772) 209-1362
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-19-107367 Florida

Profile Details

NPI number 1013505361
LBN Legal business name Camp, Kristina Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2021
Last updated Jan 4th, 2021 - about 5 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 1013505361 NPPES
Florida MEDICAID 105198500

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