Modisette, Barbara Jane

Modisette, Barbara Jane is an sole proprietor health care provider with primary practice located at 3601 Gilmer Rd 101, Longview TX 75604-1220. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Agencies / Local Education Agency (LEA). Behavioral Health & Social Service Providers / School is her primary health care specialty. Modisette, Barbara Jane can be contacted via phone (903) 759-6147.

Contact Information

Primary practice address
3601 Gilmer Rd 101 Longview TX 75604-1220
Phone: (903) 759-6147
Fax: (903) 759-4948
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 5880 Texas
Behavioral Health & Social Service Providers / School 103TS0200X 31654 Texas
Behavioral Health & Social Service Providers / Professional 101YP2500X 9559 Texas
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 6712-01 Texas
Behavioral Health & Social Service Providers / School 103TS0200X 29020 Texas
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X 0142 Texas
Agencies / Local Education Agency (LEA) 251300000X 10134 Texas
Agencies / Local Education Agency (LEA) 251300000X 31654 Texas
Agencies / Local Education Agency (LEA) 251300000X 05880 Texas
Agencies / Local Education Agency (LEA) 251300000X 9559 Texas
Agencies / Local Education Agency (LEA) 251300000X 6712-01 Texas
Agencies / Local Education Agency (LEA) 251300000X 29020 Texas
Agencies / Local Education Agency (LEA) 251300000X 0142 Texas

Profile Details

NPI number 1245316207
LBN Legal business name Modisette, Barbara Jane
Credentials ED.D., LPC, NCSP,
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2006
Last updated Apr 18th, 2014 - about 11 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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