Bennett, Jacob
Bennett, Jacob is an individual health care provider with primary practice located at 6 Eagle Ctr Ste 1 , O Fallon IL 62269-1945. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Bennett, Jacob can be contacted via phone (618) 206-8816.Contact Information
Primary practice address
6 Eagle Ctr Ste 1
O Fallon IL 62269-1945
Phone: (618) 206-8816
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1396381380 |
|---|---|
| LBN Legal business name | Bennett, Jacob |
| Credentials | RBT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 25th, 2019 |
| Last updated | Nov 25th, 2019 - 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.
Popular Providers
-
Dabrowski, Josef
634 N Main St Ste 4 , O Fallon IL 62269-3746 -
Calmese, Joanne
6 Eagle Ctr Ste 1 , O Fallon IL 62269-1945 -
Kreke, Amber
6 Eagle Ctr Ste 1 , O Fallon IL 62269-1945 -
Waltman, Katarina
6 Eagle Ctr Ste 1 , O Fallon IL 62269-1945 -
Diekemper, Jamie
6 Eagle Ctr Ste 1 , O Fallon IL 62269-1945 -
Switzer, Kahrissa
6 Eagle Ctr Ste 1 , O Fallon IL 62269-1945 -
Spates, Nikia
6 Eagle Ctr Ste 1 , O Fallon IL 62269-1945 -
Watson-Blake, Dominique
6 Eagle Ctr Ste 1 , O Fallon IL 62269-1945