Jackson, Paula Renee

Jackson, Paula Renee is an individual health care provider with primary practice located at 101 E Broadway Ave , Bloomfield NM 87413-6235. 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, Paula Renee can be contacted via phone (505) 330-8220.

Contact Information

Primary practice address
101 E Broadway Ave Bloomfield NM 87413-6235
Phone: (505) 330-8220
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1578874574
LBN Legal business name Jackson, Paula Renee
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2010
Last updated Jul 8th, 2020 - about 6 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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