Kietur, Jessica L
Kietur, Jessica L is an individual health care provider with primary practice located at 29691 6 Mile Rd Ste 100D , Livonia MI 48152. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Kietur, Jessica L can be contacted via phone (313) 986-3588.Contact Information
Primary practice address
29691 6 Mile Rd Ste 100D
Livonia MI 48152
Phone: (313) 986-3588
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1760887509 |
|---|---|
| LBN Legal business name | Kietur, Jessica L |
| Credentials | MA, BCBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 22nd, 2014 |
| Last updated | Jun 28th, 2018 - about 6 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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