Aysanoa, Jessica
Aysanoa, Jessica is an individual health care provider with primary practice located at 12656 Lake Ridge Dr Ste C , Woodbridge VA 22192-7504. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Aysanoa, Jessica can be contacted via phone (703) 910-4362.Contact Information
Primary practice address
12656 Lake Ridge Dr Ste C
Woodbridge VA 22192-7504
Phone: (703) 910-4362
Fax: (703) 910-4367
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1891040986 |
|---|---|
| LBN Legal business name | Aysanoa, Jessica |
| Credentials | BS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 16th, 2012 |
| Last updated | Jul 16th, 2012 - about 14 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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