Jackson, Tammy

Jackson, Tammy is an individual health care provider with primary practice located at 150 Victoria Dr , Cheshire CT 06410-7126. 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, Tammy can be contacted via phone (203) 819-2025.

Contact Information

Primary practice address
150 Victoria Dr Cheshire CT 06410-7126
Phone: (203) 819-2025
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-09-5870 Connecticut

Profile Details

NPI number 1972767994
LBN Legal business name Jackson, Tammy
Credentials BCBA, LBA, MBA
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2008
Last updated Feb 8th, 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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