Birk, Jeanette

Birk, Jeanette is an sole proprietor health care provider with primary practice located at 20470 N Lake Pleasant Rd Ste 107 , Peoria AZ 85382-9708. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Birk, Jeanette can be contacted via phone (623) 248-3324.

Contact Information

Primary practice address
20470 N Lake Pleasant Rd Ste 107 Peoria AZ 85382-9708
Phone: (623) 248-3324
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X BEH-000794 Arizona

Profile Details

NPI number 1205505229
LBN Legal business name Birk, Jeanette
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2021
Last updated Sep 8th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1205505229 NPPES
Arizona Other BEH-000794 ARIZONA STATE BOARD OF PSYCHOLOGIST EXAMINERS

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