Harrill, Jessica Alison

Harrill, Jessica Alison is an individual health care provider with primary practice located at 4100 N Wickham Rd Unit 107A-260 , Melbourne FL 32935-2485. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Harrill, Jessica Alison can be contacted via phone (855) 832-6727.

Contact Information

Primary practice address
4100 N Wickham Rd Unit 107A-260 Melbourne FL 32935-2485
Phone: (855) 832-6727
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X 0-15-6906 Florida
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-21-49041 Florida

Profile Details

NPI number 1811149453
LBN Legal business name Harrill, Jessica Alison
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2008
Last updated Jun 21st, 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 1811149453 NPPES
Florida Other 0-15-6906 BCABA
Florida MEDICAID 018555200 BCABA
Florida Other 103K00000X BCABA

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