Nelson, Jacob Samuel

Nelson, Jacob Samuel is an sole proprietor health care provider with primary practice located at 15214 N Cave Creek Rd Ste A , Phoenix AZ 85032-4360. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is his primary health care specialty. Nelson, Jacob Samuel can be contacted via phone (888) 973-2090.

Contact Information

Primary practice address
15214 N Cave Creek Rd Ste A Phoenix AZ 85032-4360
Phone: (888) 973-2090
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X Arizona
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Arizona

Profile Details

NPI number 1871256842
LBN Legal business name Nelson, Jacob Samuel
Credentials BHT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2021
Last updated May 31st, 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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