Nickerson, Jena Suzanne
Nickerson, Jena Suzanne is an sole proprietor health care provider with primary practice located at 1100 Circle Dr Ste 101 , Fort Worth TX 76119-8111. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Nickerson, Jena Suzanne can be contacted via phone (817) 566-1100.Contact Information
Primary practice address
1100 Circle Dr Ste 101
Fort Worth TX 76119-8111
Phone: (817) 566-1100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 5504 | Texas |
Profile Details
| NPI number | 1154034106 |
|---|---|
| LBN Legal business name | Nickerson, Jena Suzanne |
| Credentials | BCBA LBA-TX |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 4th, 2023 |
| Last updated | Jan 4th, 2023 - about 3 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.
Popular Providers
-
Posey, Shanna Antonia
516 W Bonds Ranch Rd , Fort Worth TX 76131-3904 -
Jessel, Joshua
1300 W Lancaster Ave , Fort Worth TX 76102-3410 -
Shaw, Candice Tyan
1000 St. Louis Street Suite 102, Fort Worth TX 76104 -
Bocks, Jared
5309 Westminster Ct S , Fort Worth TX 76133-4825 -
Hooke, Danielle
1200 Summit Ave Ste 880 , Fort Worth TX 76102-4429 -
Smith, Carla Michelle
1300 W Lancaster Ave , Fort Worth TX 76102-3410 -
Devine, Bailey
6916 Vista Ridge Ct , Fort Worth TX 76132-4553 -
Suckarieh, Nadia
4832 Calmont Ave , Fort Worth TX 76107-5315