Licciardo, Jeremy
Licciardo, Jeremy is an individual health care provider with primary practice located at 19 Wright St Apt 2 , Gardner MA 01440-2937. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Licciardo, Jeremy can be contacted via phone (978) 413-3290.Contact Information
Primary practice address
19 Wright St Apt 2
Gardner MA 01440-2937
Phone: (978) 413-3290
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1982396719 |
|---|---|
| LBN Legal business name | Licciardo, Jeremy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2023 |
| Last updated | May 22nd, 2023 - about last year |
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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