Carlson, Jens Jacob
Carlson, Jens Jacob is an individual health care provider with primary practice located at 16941 N Eagle River Loop Rd Ste 3 , Eagle River AK 99577-7824. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Carlson, Jens Jacob can be contacted via phone (907) 726-5330.Contact Information
Primary practice address
16941 N Eagle River Loop Rd Ste 3
Eagle River AK 99577-7824
Phone: (907) 726-5330
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1396381109 |
|---|---|
| LBN Legal business name | Carlson, Jens Jacob |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 27th, 2019 |
| Last updated | Nov 27th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396381109 | NPPES |
| Alaska | Other | RBT123 | APPLIED BEHAVIOR ANALYSIS |
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