Carlson, Jessamyn

Carlson, Jessamyn is an individual health care provider with primary practice located at 124 Capulet Dr , Saint Augustine FL 32092-4537. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Assistant Behavior Analyst. Behavioral Health & Social Service Providers / Assistant Behavior Analyst is her primary health care specialty. Carlson, Jessamyn can be contacted via phone (904) 429-3859.

Contact Information

Primary practice address
124 Capulet Dr Saint Augustine FL 32092-4537
Phone: (904) 429-3859
Fax: (904) 429-4416
Website:
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Health care specialties

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

Profile Details

NPI number 1033673504
LBN Legal business name Carlson, Jessamyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2019
Last updated Aug 2nd, 2021 - about 3 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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