Jackson, Mikaela

Jackson, Mikaela is an individual health care provider with primary practice located at 791 Rinehart Rd , Lake Mary FL 32746. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Jackson, Mikaela can be contacted via phone (407) 413-9550.

Contact Information

Primary practice address
791 Rinehart Rd Lake Mary FL 32746
Phone: (407) 413-9550
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1588178859
LBN Legal business name Jackson, Mikaela
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2017
Last updated Jan 18th, 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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