Lockwood Willoughby, Jessie

Lockwood Willoughby, Jessie is an sole proprietor health care provider with primary practice located at 2632 Foothill Blvd , Rock Springs WY 82901-4756. 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. Lockwood Willoughby, Jessie can be contacted via phone (307) 723-2520.

Contact Information

Primary practice address
2632 Foothill Blvd Rock Springs WY 82901-4756
Phone: (307) 723-2520
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-20-128053 Wyoming
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1245848001
LBN Legal business name Lockwood Willoughby, Jessie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2020
Last updated Apr 13th, 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 1245848001 NPPES
Wyoming Other RBT-20-128053 BACB

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