Fruge, Kimberly Buchler

Fruge, Kimberly Buchler is an individual health care provider with primary practice located at 3999 Highway 190 East Service Rd , Covington LA 70433-4914. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Fruge, Kimberly Buchler can be contacted via phone (985) 871-0689.

Contact Information

Primary practice address
3999 Highway 190 East Service Rd Covington LA 70433-4914
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X L-416 Louisiana

Profile Details

NPI number 1578193249
LBN Legal business name Fruge, Kimberly Buchler
Credentials BCBA, LBA
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2020
Last updated Aug 29th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1578193249 NPPES
Louisiana MEDICAID 3467275

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