Jefferson, Viennese

Jefferson, Viennese is an individual health care provider with primary practice located at 1210 Central Blvd , Brentwood CA 94513-2242. 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. Jefferson, Viennese can be contacted via phone (925) 809-6565.

Contact Information

Primary practice address
1210 Central Blvd Brentwood CA 94513-2242
Phone: (925) 809-6565
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

Profile Details

NPI number 1396385258
LBN Legal business name Jefferson, Viennese
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2020
Last updated Feb 5th, 2020 - about 4 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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