Kornegay, Jessica Lynette

Kornegay, Jessica Lynette is an individual health care provider with primary practice located at 1802 N Imperial Ave Ste D130 , El Centro CA 92243-1325. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Kornegay, Jessica Lynette can be contacted via phone (855) 832-6727.

Contact Information

Primary practice address
1802 N Imperial Ave Ste D130 El Centro CA 92243-1325
Phone: (855) 832-6727
Fax: (772) 675-9100
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-19-39077

Profile Details

NPI number 1376140350
LBN Legal business name Kornegay, Jessica Lynette
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2020
Last updated Dec 2nd, 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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