Mould, Jason Andrew

Mould, Jason Andrew is an sole proprietor health care provider with primary practice located at 9815 Cross Pine Ct , Lake Worth FL 33467-2367. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Assistant Behavior Analyst. Behavioral Health & Social Service Providers / Assistant Behavior Analyst is his primary health care specialty. Mould, Jason Andrew can be contacted via phone (561) 223-8076.

Contact Information

Primary practice address
9815 Cross Pine Ct Lake Worth FL 33467-2367
Phone: (561) 223-8076
Fax: (561) 584-5372
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-19-108988 Florida
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X 0-23-14274 Florida

Profile Details

NPI number 1326792201
LBN Legal business name Mould, Jason Andrew
Credentials BCABA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 9th, 2022
Last updated Feb 1st, 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 1326792201 NPPES
Florida MEDICAID 105169200

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