Fullwood, Jaleesia
Fullwood, Jaleesia is an sole proprietor health care provider with primary practice located at 7862 Red Mahogany Rd , Boynton Beach FL 33437-7530. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Fullwood, Jaleesia can be contacted via phone (561) 336-0358.Contact Information
Primary practice address
7862 Red Mahogany Rd
Boynton Beach FL 33437-7530
Phone: (561) 336-0358
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1679099451 |
|---|---|
| LBN Legal business name | Fullwood, Jaleesia |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 14th, 2017 |
| Last updated | Jul 21st, 2022 - 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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