Gaxiola, Sheridan Jean
Gaxiola, Sheridan Jean is an individual health care provider with primary practice located at 19800 Village Office Ct Ste 104 , Bend OR 97702-1813. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Gaxiola, Sheridan Jean can be contacted via phone (541) 480-2570.Contact Information
Primary practice address
19800 Village Office Ct Ste 104
Bend OR 97702-1813
Phone: (541) 480-2570
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | ABA-B-10208016 | Oregon |
Profile Details
| NPI number | 1801305875 |
|---|---|
| LBN Legal business name | Gaxiola, Sheridan Jean |
| Credentials | Master of Education (MED) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2017 |
| Last updated | May 1st, 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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