Wells, Jacquelyn

Wells, Jacquelyn is an individual health care provider with primary practice located at 2430 6Th Ave , Moline IL 61265-1539. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Wells, Jacquelyn can be contacted via phone (309) 764-5555.

Contact Information

Primary practice address
2430 6Th Ave Moline IL 61265-1539
Phone: (309) 764-5555
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-22-59680

Profile Details

NPI number 1538820089
LBN Legal business name Wells, Jacquelyn
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2022
Last updated Jun 24th, 2022 - about 4 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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