Land, Jenna

Land, Jenna is an sole proprietor health care provider with primary practice located at 1011 Meadowlands Dr Ste 1And2 , White Bear Lake MN 55127-2339. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Land, Jenna can be contacted via phone (612) 315-1976.

Contact Information

Primary practice address
1011 Meadowlands Dr Ste 1And2 White Bear Lake MN 55127-2339
Phone: (612) 315-1976
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X Minnesota

Profile Details

NPI number 1831686153
LBN Legal business name Land, Jenna
Credentials BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 23rd, 2018
Last updated Jan 14th, 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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