Hamm, Jillian Danielle

Hamm, Jillian Danielle is an individual health care provider with primary practice located at 5858 Shale Ct , Winter Park FL 32792. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Hamm, Jillian Danielle can be contacted via phone (321) 288-9497.

Contact Information

Primary practice address
5858 Shale Ct Winter Park FL 32792
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-16-22336 Colorado

Profile Details

NPI number 1679027957
LBN Legal business name Hamm, Jillian Danielle
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2016
Last updated Jun 7th, 2018 - about 8 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 1679027957 NPPES
Florida MEDICAID 019714100

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