Jackson, Jacqlyn
Jackson, Jacqlyn is an individual health care provider with primary practice located at 500 Sw 7Th St Ste 205 , Renton WA 98057-2983. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Jackson, Jacqlyn can be contacted via phone (425) 687-7370.Contact Information
Primary practice address
500 Sw 7Th St Ste 205
Renton WA 98057-2983
Phone: (425) 687-7370
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | CB61289347 | Washington |
Profile Details
| NPI number | 1417697954 |
|---|---|
| LBN Legal business name | Jackson, Jacqlyn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2022 |
| Last updated | Mar 31st, 2022 - about 4 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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