Dick, Kimberly

Dick, Kimberly is an individual health care provider with primary practice located at 4422 E State Blvd , Fort Wayne IN 46815-6917. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Dick, Kimberly can be contacted via phone (260) 471-9263.

Contact Information

Primary practice address
4422 E State Blvd Fort Wayne IN 46815-6917
Phone: (260) 471-9263
Fax: (317) 520-8200
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1346804390
LBN Legal business name Dick, Kimberly
Credentials MA, BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2019
Last updated Oct 4th, 2022 - about 4 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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