Chiesa, Andre Augustus
Chiesa, Andre Augustus is an individual health care provider with primary practice located at 4100 194Th St Sw Ste 100 , Lynnwood WA 98036-4613. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Chiesa, Andre Augustus can be contacted via phone (425) 426-2761.Contact Information
Primary practice address
4100 194Th St Sw Ste 100
Lynnwood WA 98036-4613
Phone: (425) 426-2761
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | Washington |
Profile Details
| NPI number | 1538652458 |
|---|---|
| LBN Legal business name | Chiesa, Andre Augustus |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2018 |
| Last updated | Jun 14th, 2018 - about 8 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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