Konetzka, Lorien

Konetzka, Lorien is an individual health care provider with primary practice located at 322 Dupont Dr Ste C , Seymour IN 47274-1764. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Konetzka, Lorien can be contacted via phone (317) 334-7331.

Contact Information

Primary practice address
322 Dupont Dr Ste C Seymour IN 47274-1764
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-16-23039 Indiana

Profile Details

NPI number 1043761778
LBN Legal business name Konetzka, Lorien
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2016
Last updated Jun 4th, 2019 - about 7 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 1043761778 NPPES
Indiana MEDICAID 300011450

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