Peterson, Bailee Amanda

Peterson, Bailee Amanda is an individual health care provider with primary practice located at 5701 Shingle Creek Pkwy Ste 661 , Brooklyn Center MN 55430-2486. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Peterson, Bailee Amanda can be contacted via phone (952) 303-5803.

Contact Information

Primary practice address
5701 Shingle Creek Pkwy Ste 661 Brooklyn Center MN 55430-2486
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X Minnesota

Profile Details

NPI number 1144973025
LBN Legal business name Peterson, Bailee Amanda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2022
Last updated Jan 31st, 2022 - about 4 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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