Kodiak, Natasha Alexandra
Kodiak, Natasha Alexandra is an sole proprietor health care provider with primary practice located at 1011 High Ridge Rd , Stamford CT 06905-1610. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Kodiak, Natasha Alexandra can be contacted via phone (203) 913-4154.Contact Information
Primary practice address
1011 High Ridge Rd
Stamford CT 06905-1610
Phone: (203) 913-4154
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-20-44592 | Connecticut |
Profile Details
| NPI number | 1720689151 |
|---|---|
| LBN Legal business name | Kodiak, Natasha Alexandra |
| Credentials | BCBA, LBA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 3rd, 2020 |
| Last updated | Nov 3rd, 2020 - 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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