Maltbie, Jessica Lynn

Maltbie, Jessica Lynn is an individual health care provider with primary practice located at 1314 Riverland Rd Se , Roanoke VA 24014-3610. She recently has only one registered license in Behavioral Health & Social Service Providers / Assistant Behavior Analyst, which is considered as her primary health care specialty. Maltbie, Jessica Lynn can be contacted via phone (866) 565-7222.

Contact Information

Primary practice address
1314 Riverland Rd Se Roanoke VA 24014-3610
Phone: (866) 565-7222
Fax: (877) 734-1914
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X 0-23-14650 Virginia

Profile Details

NPI number 1548915507
LBN Legal business name Maltbie, Jessica Lynn
Credentials BCABA
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2022
Last updated Aug 18th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1548915507 NPPES
Virginia MEDICAID 1548915507

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