Provider / Organization | NPI | Date Certified |
---|---|---|
KIMBER FREEBURN | 1932821790 | 2022-09-16 |
Kimber Freeburn is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1932821790. Registration indicates Kimber Freeburn is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, )
Entity Type | Individual |
Provider Name | Kimber Freeburn BEHAVIOR TECHNICIAN |
Practice Office Address | 3535 N LOMBARD ST PORTLAND, OR US |
Practice Office Telephone | 8002734292 |
Practice Office Fax | 7145966274 |
Mailing Address | 11037 WARNER AVE # 339 FOUNTAIN VALLEY, CA 927084007 US |
Business Telephone | 8002734292 |
Business Fax | 7145966274 |
Code | Practice | License No State |
---|---|---|
106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician |