Koenigsknecht, Audrey
Koenigsknecht, Audrey is an sole proprietor health care provider with primary practice located at 1925 Birkdale Dr , Wellington FL 33414-5809. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Koenigsknecht, Audrey can be contacted via phone (954) 552-6668.Contact Information
Primary practice address
1925 Birkdale Dr
Wellington FL 33414-5809
Phone: (954) 552-6668
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-21-50625 | Florida |
Profile Details
| NPI number | 1366893406 |
|---|---|
| LBN Legal business name | Koenigsknecht, Audrey |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 30th, 2016 |
| Last updated | Jan 16th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366893406 | NPPES |
| Florida | Other | 1-21-50625 | BACB |
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