Detrick, Jared

Detrick, Jared is an individual health care provider with primary practice located at 7025 Harbour View Blvd Ste 101 , Suffolk VA 23435-2762. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Detrick, Jared can be contacted via phone (757) 292-4774.

Contact Information

Primary practice address
7025 Harbour View Blvd Ste 101 Suffolk VA 23435-2762
Phone: (757) 292-4774
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-20-137448 Virginia

Profile Details

NPI number 1912514381
LBN Legal business name Detrick, Jared
Credentials RBT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2020
Last updated Nov 14th, 2025 - about last year

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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