Chudzinski, Kimberly Sue

Chudzinski, Kimberly Sue is an individual health care provider with primary practice located at 6635 E 21St St , Indianapolis IN 46219-2254. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Chudzinski, Kimberly Sue can be contacted via phone (317) 608-2824.

Contact Information

Primary practice address
6635 E 21St St Indianapolis IN 46219-2254
Phone: (317) 608-2824
Fax: (317) 520-8200
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-19-37168 Indiana

Profile Details

NPI number 1649746520
LBN Legal business name Chudzinski, Kimberly Sue
Credentials MA, BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2018
Last updated Dec 18th, 2019 - about 6 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 1649746520 NPPES
Other 1-19-37168 BCBA CERTIFICATE

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