Parks, Jadora Breal

Parks, Jadora Breal is an individual health care provider with primary practice located at 1302 Wall St , Jeffersonville IN 47130-3885. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Parks, Jadora Breal can be contacted via phone (812) 288-4304.

Contact Information

Primary practice address
1302 Wall St Jeffersonville IN 47130-3885
Phone: (812) 288-4304
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1083144349
LBN Legal business name Parks, Jadora Breal
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2017
Last updated Aug 24th, 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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