Khounsombath, Erica Allison
Khounsombath, Erica Allison is an sole proprietor health care provider with primary practice located at 8 Faneuil Hall Marketplace Fl 3 , Boston MA 02109-6114. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Khounsombath, Erica Allison can be contacted via phone (888) 329-4535.Contact Information
Primary practice address
8 Faneuil Hall Marketplace Fl 3
Boston MA 02109-6114
Phone: (888) 329-4535
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | Massachusetts | |
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | ||
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1497234454 |
|---|---|
| LBN Legal business name | Khounsombath, Erica Allison |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 10th, 2018 |
| Last updated | Aug 10th, 2018 - about 8 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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