Bergen, Jaimie Marie
Bergen, Jaimie Marie is an sole proprietor health care provider with primary practice located at 7109 Danny Dr , Stockton CA 95210-5320. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Bergen, Jaimie Marie can be contacted via phone (209) 957-7777.Contact Information
Primary practice address
7109 Danny Dr
Stockton CA 95210-5320
Phone: (209) 957-7777
Fax: (209) 473-3344
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-12-12364 | California |
Profile Details
| NPI number | 1588955686 |
|---|---|
| LBN Legal business name | Bergen, Jaimie Marie |
| Credentials | BCBA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 22nd, 2011 |
| Last updated | Nov 8th, 2012 - about 12 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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