Diestel, Jessica Marie
Diestel, Jessica Marie is an individual health care provider with primary practice located at 7911 Metcalf Ave , Overland Park KS 66204-3836. 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. Diestel, Jessica Marie can be contacted via phone (913) 257-5185.Contact Information
Primary practice address
7911 Metcalf Ave
Overland Park KS 66204-3836
Phone: (913) 257-5185
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | RBT-18-55213 | |
Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | ||
Behavioral Health & Social Service Providers / Assistant Behavior Analyst | 106E00000X | 0-23-14263 |
Profile Details
NPI number | 1164903514 |
---|---|
LBN Legal business name | Diestel, Jessica Marie |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 23rd, 2018 |
Last updated | Feb 17th, 2023 - about last year |
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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