Marshall, Jillian M

Marshall, Jillian M is an individual health care provider with primary practice located at 115 N Park Trl Ste 101 , Stockbridge GA 30281-7373. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Marshall, Jillian M can be contacted via phone (470) 491-2050.

Contact Information

Primary practice address
115 N Park Trl Ste 101 Stockbridge GA 30281-7373
Phone: (470) 491-2050
Fax: (470) 408-2371
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1912423013
LBN Legal business name Marshall, Jillian M
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2017
Last updated Nov 3rd, 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 1912423013 NPPES
Massachusetts MEDICAID 110026265E

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