Davidson, Heather Jacquin

Davidson, Heather Jacquin is an individual health care provider with primary practice located at 9351 W Broad St , Henrico VA 23294-5437. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Davidson, Heather Jacquin can be contacted via phone (804) 596-3275.

Contact Information

Primary practice address
9351 W Broad St Henrico VA 23294-5437
Phone: (804) 596-3275
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 0133000413 Virginia

Profile Details

NPI number 1710232152
LBN Legal business name Davidson, Heather Jacquin
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2012
Last updated Mar 17th, 2018 - 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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