Jackson, Pauline

Jackson, Pauline is an sole proprietor health care provider with primary practice located at 5220 Lee Blvd Ste 6 , Lehigh Acres FL 33971. 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, Pauline can be contacted via phone (239) 932-2220.

Contact Information

Primary practice address
5220 Lee Blvd Ste 6 Lehigh Acres FL 33971
Phone: (239) 932-2220
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1063885093
LBN Legal business name Jackson, Pauline
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 13th, 2015
Last updated Jun 26th, 2019 - about 6 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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