Miller Jackson, Jaquanda Latrice

Miller Jackson, Jaquanda Latrice is an individual health care provider with primary practice located at 3500 7Th Ave S , Birmingham AL 35222-3211. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Miller Jackson, Jaquanda Latrice can be contacted via phone (205) 490-8228.

Contact Information

Primary practice address
3500 7Th Ave S Birmingham AL 35222-3211
Phone: (205) 490-8228
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Alabama

Profile Details

NPI number 1902562143
LBN Legal business name Miller Jackson, Jaquanda Latrice
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2021
Last updated Nov 11th, 2021 - 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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