Jackson, Monisa
Jackson, Monisa is an sole proprietor health care provider with primary practice located at 1325 Airmotive Way Suite 9, Reno NV 89502-3201. She recently has only one registered license in Behavioral Health & Social Service Providers / Assistant Behavior Analyst, which is considered as her primary health care specialty. Jackson, Monisa can be contacted via phone (775) 357-2623.Contact Information
Primary practice address
1325 Airmotive Way Suite 9
Reno NV 89502-3201
Phone: (775) 357-2623
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Assistant Behavior Analyst | 106E00000X |
Profile Details
| NPI number | 1326588575 |
|---|---|
| LBN Legal business name | Jackson, Monisa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 6th, 2017 |
| Last updated | Mar 6th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326588575 | NPPES |
| Nevada | MEDICAID | 1405249095 |
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