Dixon, Jaclyn Michele

Dixon, Jaclyn Michele is an individual health care provider with primary practice located at 136 Tradewind Rd , New Castle PA 16102-2705. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Dixon, Jaclyn Michele can be contacted via phone (855) 400-3455.

Contact Information

Primary practice address
136 Tradewind Rd New Castle PA 16102-2705
Phone: (855) 400-3455
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-17-44763 Pennsylvania
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-21-46986 Pennsylvania

Profile Details

NPI number 1427604917
LBN Legal business name Dixon, Jaclyn Michele
Credentials M.ED, LBS, BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2019
Last updated Jan 15th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1427604917 NPPES
Other 106S00000X PRIVATE INSURANCE

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