Massa, Jennifer

Massa, Jennifer is an individual health care provider with primary practice located at 5447 E Beaumont Center Blvd , Tampa FL 33634-5210. 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. Massa, Jennifer can be contacted via phone (888) 754-0398.

Contact Information

Primary practice address
5447 E Beaumont Center Blvd Tampa FL 33634-5210
Phone: (888) 754-0398
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 1-20-44253

Profile Details

NPI number 1669929436
LBN Legal business name Massa, Jennifer
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2016
Last updated Sep 23rd, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1669929436 NPPES
Florida MEDICAID 103302300

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