Peterson, Keisha Michelle

Peterson, Keisha Michelle is an individual health care provider with primary practice located at 209 Plaza Drive Suite 100, Rocklin CA 95765. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Peterson, Keisha Michelle can be contacted via phone (888) 568-2494.

Contact Information

Primary practice address
209 Plaza Drive Suite 100 Rocklin CA 95765
Phone: (888) 568-2494
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1083338321
LBN Legal business name Peterson, Keisha Michelle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2022
Last updated Oct 5th, 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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