Bracken, Jessica Lynn
Bracken, Jessica Lynn is an individual health care provider with primary practice located at 3030 Centre Pointe Dr # 90 , Roseville MN 55113-1112. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Bracken, Jessica Lynn can be contacted via phone (651) 461-2022.Contact Information
Primary practice address
3030 Centre Pointe Dr # 90
Roseville MN 55113-1112
Phone: (651) 461-2022
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | ||
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1007140 | Wisconsin |
Profile Details
| NPI number | 1629709951 |
|---|---|
| LBN Legal business name | Bracken, Jessica Lynn |
| Credentials | BCBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2022 |
| Last updated | Apr 7th, 2025 - about last year |
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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