Jackson, Amanda
Jackson, Amanda is an sole proprietor health care provider with primary practice located at 901 Caledonia St , La Crosse WI 54603-2616. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Jackson, Amanda can be contacted via phone (608) 785-4100.Contact Information
Primary practice address
901 Caledonia St
La Crosse WI 54603-2616
Phone: (608) 785-4100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1881454239 |
|---|---|
| LBN Legal business name | Jackson, Amanda |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 21st, 2024 |
| Last updated | Mar 21st, 2024 - about last year |
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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