Anderson, Jesse S
Anderson, Jesse S is an individual health care provider with primary practice located at 1300 W Lancaster Ave Ste 205, Fort Worth TX 76102-3499. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Anderson, Jesse S can be contacted via phone (682) 303-9200.Contact Information
Primary practice address
1300 W Lancaster Ave Ste 205
Fort Worth TX 76102-3499
Phone: (682) 303-9200
Fax: (682) 303-9239
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1052 | Texas |
Profile Details
| NPI number | 1093044190 |
|---|---|
| LBN Legal business name | Anderson, Jesse S |
| Credentials | BCBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 18th, 2009 |
| Last updated | Jun 5th, 2024 - about 6 months 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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