Brock, Fredricca Jazzman

Brock, Fredricca Jazzman is an sole proprietor health care provider with primary practice located at 8481 Regal Bend Dr , Olive Branch MS 38654-4416. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Brock, Fredricca Jazzman can be contacted via phone (901) 606-5038.

Contact Information

Primary practice address
8481 Regal Bend Dr Olive Branch MS 38654-4416
Phone: (901) 606-5038
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 12044081 Tennessee

Profile Details

NPI number 1881207785
LBN Legal business name Brock, Fredricca Jazzman
Credentials BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 28th, 2020
Last updated Aug 28th, 2020 - about 6 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.

Request for update

Popular Providers