Khamsaensouk, Alexabae Ann

Khamsaensouk, Alexabae Ann is an individual health care provider with primary practice located at 205 14Th Ave E , Sartell MN 56377-4500. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Khamsaensouk, Alexabae Ann can be contacted via phone (320) 774-3436.

Contact Information

Primary practice address
205 14Th Ave E Sartell MN 56377-4500
Phone: (320) 774-3436
Fax: (320) 774-3440
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1477204741
LBN Legal business name Khamsaensouk, Alexabae Ann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2022
Last updated Jan 18th, 2022 - about 3 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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