Jackson, Regina
Jackson, Regina is an sole proprietor health care provider with primary practice located at 3600 Maclay Blvd S Ste 100 , Tallahassee FL 32312-1275. 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, Regina can be contacted via phone (850) 333-1279.Contact Information
Primary practice address
3600 Maclay Blvd S Ste 100
Tallahassee FL 32312-1275
Phone: (850) 333-1279
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1053825778 |
|---|---|
| LBN Legal business name | Jackson, Regina |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 17th, 2017 |
| Last updated | Aug 18th, 2022 - about 2 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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