Burnside, Jacquetta

Burnside, Jacquetta is an sole proprietor health care provider with primary practice located at 1818 New York Ave Ne Ste 110 , Washington DC 20002-1849. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Burnside, Jacquetta can be contacted via phone (202) 978-1228.

Contact Information

Primary practice address
1818 New York Ave Ne Ste 110 Washington DC 20002-1849
Phone: (202) 978-1228
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Professional 101YP2500X LGPC200001269 District of Columbia

Profile Details

NPI number 1699423301
LBN Legal business name Burnside, Jacquetta
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 11th, 2022
Last updated Jun 5th, 2023 - about 2 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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