Clark, Jessica

Clark, Jessica is an individual health care provider with primary practice located at 11607 Southfork Ave Bldg B , Baton Rouge LA 70816-5220. She recently has only one registered license in Behavioral Health & Social Service Providers / Assistant Behavior Analyst, which is considered as her primary health care specialty. Clark, Jessica can be contacted via phone (954) 947-3205.

Contact Information

Primary practice address
11607 Southfork Ave Bldg B Baton Rouge LA 70816-5220
Phone: (954) 947-3205
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X Louisiana

Profile Details

NPI number 1831892645
LBN Legal business name Clark, Jessica
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2023
Last updated Mar 22nd, 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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