Dellenbaugh, Jessica

Dellenbaugh, Jessica is an sole proprietor health care provider with primary practice located at 1704 Westland Rd , Cheyenne WY 82001-3322. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Dellenbaugh, Jessica can be contacted via phone (605) 271-2690.

Contact Information

Primary practice address
1704 Westland Rd Cheyenne WY 82001-3322
Phone: (605) 271-2690
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 111074-852 Wyoming
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-21-175774 Wyoming

Profile Details

NPI number 1174121032
LBN Legal business name Dellenbaugh, Jessica
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2020
Last updated Aug 10th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1174121032 NPPES
Wyoming Other 111074-852 DIVERS LICENSE

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