Young, Jacaynlene
Young, Jacaynlene is an individual health care provider with primary practice located at 6761 Stage Rd , Bartlett TN 38134-3867. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Young, Jacaynlene can be contacted via phone (901) 379-8827.Contact Information
Primary practice address
6761 Stage Rd
Bartlett TN 38134-3867
Phone: (901) 379-8827
Fax: (901) 244-6153
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | RBT-18-69180 | Arkansas |
Profile Details
| NPI number | 1063048726 |
|---|---|
| LBN Legal business name | Young, Jacaynlene |
| Credentials | RBT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 13th, 2020 |
| Last updated | Mar 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063048726 | NPPES |
| Arkansas | Other | RBT-18-69180 | BACB- REGISTERED BEHAVIOR TECHNICIAN |
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