Rasmussen, Shondra M
Rasmussen, Shondra M is an sole proprietor health care provider with primary practice located at 3800 Sunset Dr Spc 30 , Rock Springs WY 82901-6902. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Rasmussen, Shondra M can be contacted via phone (307) 679-1969.Contact Information
Primary practice address
3800 Sunset Dr Spc 30
Rock Springs WY 82901-6902
Phone: (307) 679-1969
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | ||
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | RBT-20-148355 | Wyoming |
Profile Details
| NPI number | 1306454764 |
|---|---|
| LBN Legal business name | Rasmussen, Shondra M |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 21st, 2020 |
| Last updated | Dec 16th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306454764 | NPPES |
| Wyoming | Other | RBT-20-148355 | BACB |
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