Jackson, James W

Jackson, James W is an sole proprietor health care provider with primary practice located at 1111 N Cedar Rd , New Lenox IL 60451-1419. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Jackson, James W can be contacted via phone (618) 201-1278.

Contact Information

Primary practice address
1111 N Cedar Rd New Lenox IL 60451-1419
Phone: (618) 201-1278
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-07-3553 Illinois

Profile Details

NPI number 1710118625
LBN Legal business name Jackson, James W
Credentials M.S., BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2009
Last updated Jul 27th, 2009 - about 17 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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