Queen, Jennifer Eileen

Queen, Jennifer Eileen is an sole proprietor health care provider with primary practice located at 8017 N Sundance Dr , Coeur D Alene ID 83815-7028. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Queen, Jennifer Eileen can be contacted via phone (208) 659-5517.

Contact Information

Primary practice address
8017 N Sundance Dr Coeur D Alene ID 83815-7028
Phone: (208) 659-5517
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-11-9676

Profile Details

NPI number 1548509649
LBN Legal business name Queen, Jennifer Eileen
Credentials M.ED. BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2013
Last updated Oct 15th, 2015 - about 11 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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