Park, Jacqueline

Park, Jacqueline is an sole proprietor health care provider with primary practice located at 5617 N Grove Dr , Mukilteo WA 98275-4868. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Park, Jacqueline can be contacted via phone (425) 463-7992.

Contact Information

Primary practice address
5617 N Grove Dr Mukilteo WA 98275-4868
Phone: (425) 463-7992
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1235812959
LBN Legal business name Park, Jacqueline
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2023
Last updated Nov 9th, 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.

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