Clark, Jessica
Clark, Jessica is an individual health care provider with primary practice located at 11607 Southfork Ave Bldg B , Baton Rouge LA 70816-5220. She recently has only one registered license in Behavioral Health & Social Service Providers / Assistant Behavior Analyst, which is considered as her primary health care specialty. Clark, Jessica can be contacted via phone (954) 947-3205.Contact Information
Primary practice address
11607 Southfork Ave Bldg B
Baton Rouge LA 70816-5220
Phone: (954) 947-3205
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Assistant Behavior Analyst | 106E00000X | Louisiana |
Profile Details
| NPI number | 1831892645 |
|---|---|
| LBN Legal business name | Clark, Jessica |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2023 |
| Last updated | Mar 22nd, 2023 - 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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