Bevis, Jillian King

Bevis, Jillian King is an individual health care provider with primary practice located at 54 Ridge Rd , Durham CT 06422-3414. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Bevis, Jillian King can be contacted via phone (203) 213-3773.

Contact Information

Primary practice address
54 Ridge Rd Durham CT 06422-3414
Phone: (203) 213-3773
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X Connecticut

Profile Details

NPI number 1194461020
LBN Legal business name Bevis, Jillian King
Credentials BCBA, CTLBA
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2022
Last updated May 12th, 2022 - about 4 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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