Petersen, Katelyn
Petersen, Katelyn is an individual health care provider with primary practice located at 1319 Calle Avanzado , San Clemente CA 92673-6351. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Petersen, Katelyn can be contacted via phone (949) 272-6146.Contact Information
Primary practice address
1319 Calle Avanzado
San Clemente CA 92673-6351
Phone: (949) 272-6146
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1952992083 |
|---|---|
| LBN Legal business name | Petersen, Katelyn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2021 |
| Last updated | Jun 22nd, 2021 - about 5 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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