Godwin, Jacqueline
Godwin, Jacqueline is an sole proprietor health care provider with primary practice located at 77 W Baltimore Pike Ste 100B , Media PA 19063-5639. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Godwin, Jacqueline can be contacted via phone (610) 572-5520.Contact Information
Primary practice address
77 W Baltimore Pike Ste 100B
Media PA 19063-5639
Phone: (610) 572-5520
Fax: (610) 572-5521
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-10-7630 | Pennsylvania |
Profile Details
| NPI number | 1417212390 |
|---|---|
| LBN Legal business name | Godwin, Jacqueline |
| Credentials | M.S., BCBA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2012 |
| Last updated | Aug 12th, 2021 - about 5 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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