Jackson, Johnneisha

Jackson, Johnneisha is an individual health care provider with primary practice located at 500 Fairway Dr , Deerfield Bch FL 33441-1814. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Jackson, Johnneisha can be contacted via phone (954) 546-1188.

Contact Information

Primary practice address
500 Fairway Dr Deerfield Bch FL 33441-1814
Phone: (954) 546-1188
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1760155212
LBN Legal business name Jackson, Johnneisha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2021
Last updated Jul 30th, 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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