Powers, Jezebel Rae

Powers, Jezebel Rae is an individual health care provider with primary practice located at 1501 W Tapp Rd , Bloomington IN 47403-3459. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Powers, Jezebel Rae can be contacted via phone (812) 330-4460.

Contact Information

Primary practice address
1501 W Tapp Rd Bloomington IN 47403-3459
Phone: (812) 330-4460
Fax: (812) 330-4461
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-19-104415 Indiana

Profile Details

NPI number 1609415371
LBN Legal business name Powers, Jezebel Rae
Credentials RBT
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2019
Last updated Dec 30th, 2019 - about 6 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.

Request for update

Popular Providers