Kat Jackson Llc

LBN: Kat Jackson Llc
Kat Jackson Llc is an health care organization with primary practice located at 1401 Lusitana St Apt 304 , Honolulu HI 96813-2041. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as the primary health care specialty. Kat Jackson Llc can be contacted via phone (808) 780-9399, or through Jackson, Kathryn via phone (808) 780-9399.

Contact Information

Primary practice address
1401 Lusitana St Apt 304 Honolulu HI 96813-2041
Phone: (808) 780-9399
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Kathryn M.ED., BCBA, LBA
Phone: (808) 780-9399

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1174190334
LBN Legal business name Kat Jackson Llc
DBA Doing business as
Authorized official Jackson, Kathryn M.ED., BCBA, LBA
Entity Organization
Organization subpart 1 No
Enumeration date Jun 7th, 2021
Last updated Jun 7th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174190334 NPPES
Alabama MEDICAID 1558829861

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