Brown, Jaquetta Kalisah
Brown, Jaquetta Kalisah is an individual health care provider with primary practice located at 6400 Grovedale Dr Ste 100&201 , Alexandria VA 22310-2504. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Brown, Jaquetta Kalisah can be contacted via phone (571) 290-0143.Contact Information
Primary practice address
6400 Grovedale Dr Ste 100&201
Alexandria VA 22310-2504
Phone: (571) 290-0143
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | 5100161 | District of Columbia |
Profile Details
| NPI number | 1073220646 |
|---|---|
| LBN Legal business name | Brown, Jaquetta Kalisah |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2022 |
| Last updated | Nov 2nd, 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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