Conn, Jenna
Conn, Jenna is an individual health care provider with primary practice located at 305 East Dr Ste L , Melbourne FL 32904-1033. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Conn, Jenna can be contacted via phone (321) 345-0861.Contact Information
Primary practice address
305 East Dr Ste L
Melbourne FL 32904-1033
Phone: (321) 345-0861
Fax: (321) 765-6434
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | RBT-15-05493 | Florida |
Profile Details
| NPI number | 1083088025 |
|---|---|
| LBN Legal business name | Conn, Jenna |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 13th, 2015 |
| Last updated | Nov 13th, 2015 - about 11 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 | 1083088025 | NPPES |
| Florida | Other | RBT-15-05493 | RBT |
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