Azure, Jessica

Azure, Jessica is an individual health care provider with primary practice located at 2016 S Washington St , Grand Forks ND 58201-6342. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Azure, Jessica can be contacted via phone (701) 775-8934.

Contact Information

Primary practice address
2016 S Washington St Grand Forks ND 58201-6342
Phone: (701) 775-8934
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-18-59383 North Dakota

Profile Details

NPI number 1861987158
LBN Legal business name Azure, Jessica
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2018
Last updated Jun 28th, 2018 - about 7 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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