Jergensen, Priscilla

Jergensen, Priscilla is an individual health care provider with primary practice located at 225 Broadhollow Rd Ste 402 , Melville NY 11747-4899. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Jergensen, Priscilla can be contacted via phone (631) 385-7780.

Contact Information

Primary practice address
225 Broadhollow Rd Ste 402 Melville NY 11747-4899
Phone: (631) 385-7780
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1770012593
LBN Legal business name Jergensen, Priscilla
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2017
Last updated Jul 21st, 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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