Jackson, Terri

Jackson, Terri is an individual health care provider with primary practice located at 214 Baldwin Ter , Orange NJ 07050-1805. 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, Terri can be contacted via phone (201) 455-4323.

Contact Information

Primary practice address
214 Baldwin Ter Orange NJ 07050-1805
Phone: (201) 455-4323
Fax:
Website:
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Health care specialties

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

Profile Details

NPI number 1912403106
LBN Legal business name Jackson, Terri
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2018
Last updated Jan 10th, 2022 - about 3 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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