Diederich, Jennifer Christine

Diederich, Jennifer Christine is an individual health care provider with primary practice located at 5868 Baker Rd , Minnetonka MN 55345-5903. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Diederich, Jennifer Christine can be contacted via phone (612) 245-5933.

Contact Information

Primary practice address
5868 Baker Rd Minnetonka MN 55345-5903
Phone: (612) 245-5933
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 01-16-7528

Profile Details

NPI number 1649897034
LBN Legal business name Diederich, Jennifer Christine
Credentials BCABA
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2020
Last updated Jul 1st, 2020 - 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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