Kristine Noelle Anderson, MSW
Behavior Technician in San Diego, CA. Individual provider (NPI-1).
NPI number1124375795
StatusActive
Last updated in NPPESDec 2, 2020
Details
- NPI
- 1124375795
- Entity type
- Individual (NPI-1)
- Name
- Kristine Noelle Anderson
- Credential
- MSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 13, 2012
- Certification date
- Dec 2, 2020
- Last updated
- Dec 2, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
| 1041C0700X | Social Worker, Clinical | – | – |
Practice location
5333 Mission Center Rd Ste 110San Diego, CA 92108-1347
Phone 619-278-0884
Mailing address
16782 Von Karman Ave Ste 11Irvine, CA 92606-2417
Phone 949-833-2237
Other practice locations
3800 Coolidge Ave
Oakland, CA 94602-3311
Oakland, CA 94602-3311
Phone 510-482-2244
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