Burrell, Jamaal
Burrell, Jamaal is an individual health care provider with primary practice located at 21935 Van Buren St Ste 13 , Grand Terrace CA 92313-5624. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Behavior Technician, Other Service Providers / Case Manager/Care Coordinator, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner is his primary health care specialty. Burrell, Jamaal can be contacted via phone (909) 906-1023.Contact Information
Primary practice address
21935 Van Buren St Ste 13
Grand Terrace CA 92313-5624
Phone: (909) 906-1023
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | ||
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner | 225400000X |
Profile Details
| NPI number | 1700281839 |
|---|---|
| LBN Legal business name | Burrell, Jamaal |
| Credentials | B.ED |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2014 |
| Last updated | Jul 27th, 2023 - about 3 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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