Smith, Jacquelyn
Smith, Jacquelyn is an sole proprietor health care provider with primary practice located at 224 Nazareth Pike Unit 22A , Bethlehem PA 18020-9084. She recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Behavioral Health & Social Service Providers / Behavior Technician. Agencies / Community/Behavioral Health is her primary health care specialty. Smith, Jacquelyn can be contacted via phone (610) 365-8373.Contact Information
Primary practice address
224 Nazareth Pike Unit 22A
Bethlehem PA 18020-9084
Phone: (610) 365-8373
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | BH005242 | Pennsylvania |
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1912598442 |
|---|---|
| LBN Legal business name | Smith, Jacquelyn |
| Credentials | M. ED., LBS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 28th, 2021 |
| Last updated | Feb 9th, 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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