Avila, Jeanine
Avila, Jeanine is an individual health care provider with primary practice located at 2511 Trimmier Rd Suite 140, Killeen TX 76542-1908. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Avila, Jeanine can be contacted via phone (866) 273-2451.Contact Information
Primary practice address
2511 Trimmier Rd Suite 140
Killeen TX 76542-1908
Phone: (866) 273-2451
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | H01330250 | Hawaii |
Profile Details
| NPI number | 1750821633 |
|---|---|
| LBN Legal business name | Avila, Jeanine |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2017 |
| Last updated | Feb 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750821633 | NPPES |
| Texas | Other | 1396198459 | TRICARE PRIME |
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