Mack, Diamond Jacklyn

Mack, Diamond Jacklyn is an sole proprietor health care provider with primary practice located at 560 Capobianco Plz Apt D , Rahway NJ 07065-5419. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Mack, Diamond Jacklyn can be contacted via phone (908) 463-5621.

Contact Information

Primary practice address
560 Capobianco Plz Apt D Rahway NJ 07065-5419
Phone: (908) 463-5621
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1174104756
LBN Legal business name Mack, Diamond Jacklyn
Credentials BACHELOR'S IN ART
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 15th, 2021
Last updated Apr 15th, 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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