Terry, Jessica Dianne

Terry, Jessica Dianne is an sole proprietor health care provider with primary practice located at 743 S Hills Oak Rd , Portales NM 88130. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Terry, Jessica Dianne can be contacted via phone (575) 791-5951.

Contact Information

Primary practice address
743 S Hills Oak Rd Portales NM 88130
Phone: (575) 791-5951
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-18-71169 New Mexico

Profile Details

NPI number 1285103218
LBN Legal business name Terry, Jessica Dianne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 20th, 2018
Last updated Nov 20th, 2018 - about 8 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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