Mcgregor, Kadijah Ievtte

Mcgregor, Kadijah Ievtte is an individual health care provider with primary practice located at 33 Howland St , Dorchester MA 02121-1705. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Mcgregor, Kadijah Ievtte can be contacted via phone (857) 266-6565.

Contact Information

Primary practice address
33 Howland St Dorchester MA 02121-1705
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Massachusetts

Profile Details

NPI number 1689146888
LBN Legal business name Mcgregor, Kadijah Ievtte
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2018
Last updated Dec 28th, 2018 - about 8 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 1689146888 NPPES
Massachusetts Other 100019053949 MASSHEALTH STANDARD

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