Bennett, Jessica Taylor

Bennett, Jessica Taylor is an individual health care provider with primary practice located at 147 Winham Ave , Staten Island NY 10306-4930. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Bennett, Jessica Taylor can be contacted via phone (917) 573-1399.

Contact Information

Primary practice address
147 Winham Ave Staten Island NY 10306-4930
Phone: (917) 573-1399
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1558054478
LBN Legal business name Bennett, Jessica Taylor
Credentials BEHAVIOR ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2023
Last updated Mar 12th, 2024 - about 8 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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