Pickering, Jaclyn Claire

Pickering, Jaclyn Claire is an individual health care provider with primary practice located at 415 Medical Dr Ste D101 , Bountiful UT 84010-8905. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Pickering, Jaclyn Claire can be contacted via phone (801) 683-1062.

Contact Information

Primary practice address
415 Medical Dr Ste D101 Bountiful UT 84010-8905
Phone: (801) 683-1062
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-20-42771 Utah

Profile Details

NPI number 1366007684
LBN Legal business name Pickering, Jaclyn Claire
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2019
Last updated Sep 7th, 2021 - 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 1366007684 NPPES
Florida MEDICAID 100657000

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