Korreckt, Jennifer L

Korreckt, Jennifer L is an individual health care provider with primary practice located at 625 N. Union St , Kokomo IN 46901-2907. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Korreckt, Jennifer L can be contacted via phone (765) 252-0530.

Contact Information

Primary practice address
625 N. Union St Kokomo IN 46901-2907
Phone: (765) 252-0530
Fax: (765) 454-9759
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X Indiana
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X Indiana
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1134240260
LBN Legal business name Korreckt, Jennifer L
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2007
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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Identifiers

StateTypeNumberIssuer
All States NPI 1134240260 NPPES
Other 1-08-4413 BCBA CERTIFICATE

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