Gaxiola, Sheridan Jean

Gaxiola, Sheridan Jean is an individual health care provider with primary practice located at 19800 Village Office Ct Ste 104 , Bend OR 97702-1813. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Gaxiola, Sheridan Jean can be contacted via phone (541) 480-2570.

Contact Information

Primary practice address
19800 Village Office Ct Ste 104 Bend OR 97702-1813
Phone: (541) 480-2570
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X ABA-B-10208016 Oregon

Profile Details

NPI number 1801305875
LBN Legal business name Gaxiola, Sheridan Jean
Credentials Master of Education (MED)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2017
Last updated May 1st, 2020 - about 6 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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