Wilson, Jennifer Lee

Wilson, Jennifer Lee is an sole proprietor health care provider with primary practice located at 655 N Indiana Ave Unit A , Englewood FL 34223-2756. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Wilson, Jennifer Lee can be contacted via phone (860) 917-8841.

Contact Information

Primary practice address
655 N Indiana Ave Unit A Englewood FL 34223-2756
Phone: (860) 917-8841
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1902423833
LBN Legal business name Wilson, Jennifer Lee
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 26th, 2020
Last updated Jun 26th, 2020 - about 6 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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