Jackson, Lydia

Jackson, Lydia is an sole proprietor health care provider with primary practice located at 635 S Main St , Leitchfield KY 42754-1011. 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, Lydia can be contacted via phone (270) 287-0656.

Contact Information

Primary practice address
635 S Main St Leitchfield KY 42754-1011
Phone: (270) 287-0656
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X 24-363679 Kentucky

Profile Details

NPI number 1770381303
LBN Legal business name Jackson, Lydia
Credentials RBT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 7th, 2025
Last updated Mar 7th, 2025 - about last year

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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