Andazola, Jacqueline
Andazola, Jacqueline is an individual health care provider with primary practice located at 738 S Bridgeway Pl Ste 150 , Eagle ID 83616-6953. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Andazola, Jacqueline can be contacted via phone (888) 392-8642.Contact Information
Primary practice address
738 S Bridgeway Pl Ste 150
Eagle ID 83616-6953
Phone: (888) 392-8642
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1932955663 |
|---|---|
| LBN Legal business name | Andazola, Jacqueline |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2024 |
| Last updated | Apr 24th, 2024 - about 2 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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