Kos, Nirvana Gabriela
Kos, Nirvana Gabriela is an sole proprietor health care provider with primary practice located at 8445 Sw 57Th Ave , Portland OR 97219-3270. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Kos, Nirvana Gabriela can be contacted via phone (786) 362-4128.Contact Information
Primary practice address
8445 Sw 57Th Ave
Portland OR 97219-3270
Phone: (786) 362-4128
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1386839058 |
|---|---|
| LBN Legal business name | Kos, Nirvana Gabriela |
| Credentials | DR, ED.D., BCBA, LBA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 6th, 2007 |
| Last updated | Apr 3rd, 2024 - about 2 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 | 1386839058 | NPPES |
| Florida | MEDICAID | 812138900 |
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