Jessel, Joshua
Jessel, Joshua is an individual health care provider with primary practice located at 1300 W Lancaster Ave , Fort Worth TX 76102-3410. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Jessel, Joshua can be contacted via phone (817) 336-8611.Contact Information
Primary practice address
1300 W Lancaster Ave
Fort Worth TX 76102-3410
Phone: (817) 336-8611
Fax: (817) 390-2901
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1205219961 |
|---|---|
| LBN Legal business name | Jessel, Joshua |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2015 |
| Last updated | Jun 30th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205219961 | NPPES |
| Texas | Other | 1-13-13176 | BOARD CERTIFIED BEHAVIOR ANALYST |
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