Kienzle, Carolyn Ruth

Kienzle, Carolyn Ruth is an individual health care provider with primary practice located at 475 S John Rodes Blvd , Melbourne FL 32904-1093. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Kienzle, Carolyn Ruth can be contacted via phone (321) 241-1170.

Contact Information

Primary practice address
475 S John Rodes Blvd Melbourne FL 32904-1093
Fax: (321) 241-1171
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-15-19012 Florida

Profile Details

NPI number 1578949624
LBN Legal business name Kienzle, Carolyn Ruth
Credentials MS, BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2015
Last updated Sep 18th, 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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