Jackson, Tannalia Virginia
Jackson, Tannalia Virginia is an individual health care provider with primary practice located at 3443 Lilly Rd Ne , Olympia WA 98506-3091. 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, Tannalia Virginia can be contacted via phone (877) 910-6538.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1558064014 |
|---|---|
| LBN Legal business name | Jackson, Tannalia Virginia |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2023 |
| Last updated | Mar 23rd, 2023 - about 3 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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