Kimbrough, Christine Nicole

Kimbrough, Christine Nicole is an sole proprietor health care provider with primary practice located at 19195 Outer Hwy 18 Ste 104 , Apple Valley CA 92307-2562. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Kimbrough, Christine Nicole can be contacted via phone (888) 557-1305.

Contact Information

Primary practice address
19195 Outer Hwy 18 Ste 104 Apple Valley CA 92307-2562
Phone: (888) 557-1305
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1912679069
LBN Legal business name Kimbrough, Christine Nicole
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 28th, 2021
Last updated Sep 28th, 2021 - about 5 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 1912679069 NPPES
Other NA NA

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