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
Phone: (949) 636-3962
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1902305915 | NPPES |
California | Other | 0-17-8400 | BACB |
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