Washington, Jaleesa

Washington, Jaleesa is an individual health care provider with primary practice located at 926 J Clyde Morris Blvd , Newport News VA 23601-1054. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Washington, Jaleesa can be contacted via phone (757) 788-8490.

Contact Information

Primary practice address
926 J Clyde Morris Blvd Newport News VA 23601-1054
Phone: (757) 788-8490
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-18-53231 Virginia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1457806127
LBN Legal business name Washington, Jaleesa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2016
Last updated Apr 19th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1457806127 NPPES
Massachusetts MEDICAID 110026265E

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