Malcore, Katelyn Marissa

Malcore, Katelyn Marissa is an individual health care provider with primary practice located at 9120 Springbrook Dr Nw , Coon Rapids MN 55433-5845. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Malcore, Katelyn Marissa can be contacted via phone (952) 767-7222.

Contact Information

Primary practice address
9120 Springbrook Dr Nw Coon Rapids MN 55433-5845
Phone: (952) 767-7222
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-23-68595 Minnesota

Profile Details

NPI number 1184182289
LBN Legal business name Malcore, Katelyn Marissa
Credentials MS, BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2019
Last updated Oct 11th, 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.

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