Giardinelli, Andrew

Giardinelli, Andrew is an individual health care provider with primary practice located at 3709 Citation Way Ste 102 , Medford OR 97504-9022. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Giardinelli, Andrew can be contacted via phone (541) 500-6532.

Contact Information

Primary practice address
3709 Citation Way Ste 102 Medford OR 97504-9022
Phone: (541) 500-6532
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1063043206
LBN Legal business name Giardinelli, Andrew
Credentials BT1
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2020
Last updated Jan 27th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1063043206 NPPES
Oregon MEDICAID CA001G9H

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