De Raoulx, Jennifer Erin

De Raoulx, Jennifer Erin is an individual health care provider with primary practice located at 1315 E Main St , Bozeman MT 59715-3850. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. De Raoulx, Jennifer Erin can be contacted via phone (406) 587-2477.

Contact Information

Primary practice address
1315 E Main St Bozeman MT 59715-3850
Phone: (406) 587-2477
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-19-34772 Montana

Profile Details

NPI number 1598322893
LBN Legal business name De Raoulx, Jennifer Erin
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2019
Last updated May 22nd, 2019 - about 7 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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