Bailey, Jackson
Bailey, Jackson is an sole proprietor health care provider with primary practice located at 35 Skyline Dr , Brigham City UT 84302-6772. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Bailey, Jackson can be contacted via phone (801) 255-5131.Contact Information
Primary practice address
35 Skyline Dr
Brigham City UT 84302-6772
Phone: (801) 255-5131
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1013625110 |
|---|---|
| LBN Legal business name | Bailey, Jackson |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 8th, 2022 |
| Last updated | Nov 8th, 2022 - about 3 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 | 1013625110 | NPPES |
| Other | 1104119619 | BEHAVIOR TECH |
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