Mathis, Jamie

Mathis, Jamie is an individual health care provider with primary practice located at 635 S Main St Ste B , Leitchfield KY 42754-1056. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Mathis, Jamie can be contacted via phone (270) 287-0656.

Contact Information

Primary practice address
635 S Main St Ste B Leitchfield KY 42754-1056
Phone: (270) 287-0656
Fax: (270) 230-0328
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1609491653
LBN Legal business name Mathis, Jamie
Credentials RBT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2020
Last updated Jun 15th, 2020 - about 5 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 1609491653 NPPES
Kentucky Other RBT-20-123163 RBT

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