Dillard, Jessica B

Dillard, Jessica B is an sole proprietor health care provider with primary practice located at 4695 Macarthur Ct Ste 1100 , Newport Beach CA 92660-1866. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Dillard, Jessica B can be contacted via phone (949) 636-3962.

Contact Information

Primary practice address
4695 Macarthur Ct Ste 1100 Newport Beach CA 92660-1866
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X 0-17-8400 California
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-20-42834 California

Profile Details

NPI number 1902305915
LBN Legal business name Dillard, Jessica B
Credentials BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 5th, 2018
Last updated Nov 6th, 2020 - about 4 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 1902305915 NPPES
California Other 0-17-8400 BACB

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