Jackson, Anita Rikki

Jackson, Anita Rikki is an sole proprietor health care provider with primary practice located at 14420 W Side Blvd Apt 310 , Laurel MD 20707-6271. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Jackson, Anita Rikki can be contacted via phone (301) 318-5429.

Contact Information

Primary practice address
14420 W Side Blvd Apt 310 Laurel MD 20707-6271
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X LBA612 Maryland

Profile Details

NPI number 1861059487
LBN Legal business name Jackson, Anita Rikki
Credentials MSED, BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 20th, 2019
Last updated May 20th, 2019 - 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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