Moore, Jessica L
Moore, Jessica L is an individual health care provider with primary practice located at 14977 Promenade Pkwy , Odessa FL 33556-2773. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Moore, Jessica L can be contacted via phone (727) 698-0548.Contact Information
Primary practice address
14977 Promenade Pkwy
Odessa FL 33556-2773
Phone: (727) 698-0548
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1821519729 |
|---|---|
| LBN Legal business name | Moore, Jessica L |
| Credentials | BCBA-D |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2017 |
| Last updated | Aug 10th, 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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