Queen, Katlin

Queen, Katlin is an sole proprietor health care provider with primary practice located at 150 Holly Ln , Chagrin Falls OH 44022-4198. She recently has 2 registered licenses in different health care specialties including Agencies / Case Management, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Queen, Katlin can be contacted via phone (216) 202-0785.

Contact Information

Primary practice address
150 Holly Ln Chagrin Falls OH 44022-4198
Phone: (216) 202-0785
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1083208219
LBN Legal business name Queen, Katlin
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2021
Last updated Feb 1st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1083208219 NPPES
Ohio MEDICAID PENDING

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