Woolery, Kimberly
Woolery, Kimberly is an sole proprietor health care provider with primary practice located at 500 Redland Ct , Owings Mills MD 21117-3264. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Woolery, Kimberly can be contacted via phone (201) 979-1336.Contact Information
Primary practice address
500 Redland Ct
Owings Mills MD 21117-3264
Phone: (201) 979-1336
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-13-14362 | Maryland |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | IMH22354 | Florida |
Profile Details
| NPI number | 1619305794 |
|---|---|
| LBN Legal business name | Woolery, Kimberly |
| Credentials | BCBA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 28th, 2013 |
| Last updated | Sep 19th, 2025 - about last year |
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 | 1619305794 | NPPES |
| Florida | MEDICAID | 103159800 |
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