Gallagher, Jenna Nicole

Gallagher, Jenna Nicole is an individual health care provider with primary practice located at 780 Mcardle Dr # Driveabc , Crystal Lake IL 60014-8155. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Gallagher, Jenna Nicole can be contacted via phone (780) 220-6262.

Contact Information

Primary practice address
780 Mcardle Dr # Driveabc Crystal Lake IL 60014-8155
Phone: (780) 220-6262
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Illinois
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1619525979
LBN Legal business name Gallagher, Jenna Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2019
Last updated Aug 29th, 2019 - 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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