Lake, Jessica
Lake, Jessica is an individual health care provider with primary practice located at 14434 Ne 8Th St 300, Bellevue WA 98007-4146. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Lake, Jessica can be contacted via phone (425) 502-5060.Contact Information
Primary practice address
14434 Ne 8Th St 300
Bellevue WA 98007-4146
Phone: (425) 502-5060
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1962938274 |
|---|---|
| LBN Legal business name | Lake, Jessica |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2017 |
| Last updated | May 5th, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962938274 | NPPES |
| Other | RBT-16-22011 | BACB |
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