Evans, Jenine D

Evans, Jenine D is an individual health care provider with primary practice located at 4875 Eisenhower Ave Ste 210 , Alexandria VA 22304-4833. She recently has only one registered license in Behavioral Health & Social Service Providers / Assistant Behavior Analyst, which is considered as her primary health care specialty. Evans, Jenine D can be contacted via phone (571) 290-0143.

Contact Information

Primary practice address
4875 Eisenhower Ave Ste 210 Alexandria VA 22304-4833
Phone: (571) 290-0143
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X Virginia

Profile Details

NPI number 1356816193
LBN Legal business name Evans, Jenine D
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 8th, 2018
Last updated Oct 8th, 2018 - about 6 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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