Brandley, Jackie Suzanne
Brandley, Jackie Suzanne is an individual health care provider with primary practice located at 100 Governors Trce Ste 101 , Peachtree City GA 30269-4853. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Brandley, Jackie Suzanne can be contacted via phone (770) 268-2798.Contact Information
Primary practice address
100 Governors Trce Ste 101
Peachtree City GA 30269-4853
Phone: (770) 268-2798
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1891311304 |
|---|---|
| LBN Legal business name | Brandley, Jackie Suzanne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2020 |
| Last updated | Jun 20th, 2020 - 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.
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