Jenkins, Sonny

Jenkins, Sonny is an individual health care provider with primary practice located at 1522 E Superior St , Duluth MN 55812-1634. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Assistant Behavior Analyst. Behavioral Health & Social Service Providers / Assistant Behavior Analyst is her primary health care specialty. Jenkins, Sonny can be contacted via phone (218) 724-3122.

Contact Information

Primary practice address
1522 E Superior St Duluth MN 55812-1634
Phone: (218) 724-3122
Fax: (833) 933-0639
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X BCABA0-22-13592 Minnesota

Profile Details

NPI number 1184226839
LBN Legal business name Jenkins, Sonny
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2020
Last updated Nov 10th, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1184226839 NPPES
Minnesota MEDICAID 1588993091

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