Coy-Jackson, Jada

Coy-Jackson, Jada is an individual health care provider with primary practice located at 638 Bennington St , East Boston MA 02128-1576. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Coy-Jackson, Jada can be contacted via phone (857) 256-2508.

Contact Information

Primary practice address
638 Bennington St East Boston MA 02128-1576
Phone: (857) 256-2508
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1710404470
LBN Legal business name Coy-Jackson, Jada
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2017
Last updated Aug 24th, 2017 - about 9 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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