Wade, Kathleen

Wade, Kathleen is an sole proprietor health care provider with primary practice located at 8300 Utica Ave Suite 259, Rancho Cucamonga CA 91730-3879. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Wade, Kathleen can be contacted via phone (909) 906-1505.

Contact Information

Primary practice address
8300 Utica Ave Suite 259 Rancho Cucamonga CA 91730-3879
Phone: (909) 906-1505
Fax: (909) 906-1508
Website:
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Health care specialties

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

Profile Details

NPI number 1841731767
LBN Legal business name Wade, Kathleen
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 10th, 2017
Last updated Mar 10th, 2017 - about 9 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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