Marshall, Jacinta Eileen

Marshall, Jacinta Eileen is an individual health care provider with primary practice located at 4655 Rosebud Ln , Newburgh IN 47630-9366. 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. Marshall, Jacinta Eileen can be contacted via phone (812) 213-8031.

Contact Information

Primary practice address
4655 Rosebud Ln Newburgh IN 47630-9366
Phone: (812) 213-8031
Fax: (317) 520-8200
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-21-153070 Indiana
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-22-63244 Indiana

Profile Details

NPI number 1114518750
LBN Legal business name Marshall, Jacinta Eileen
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2021
Last updated Dec 21st, 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 1114518750 NPPES
Indiana Other 1-22-63244 BOARD CERTIFIED BEHAVIOR ANALYST

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