Parks, Jessica Mary Katherine

Parks, Jessica Mary Katherine is an individual health care provider with primary practice located at 8680 N Wayne Dr Ste C , Hayden ID 83835-5037. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Parks, Jessica Mary Katherine can be contacted via phone (208) 635-5907.

Contact Information

Primary practice address
8680 N Wayne Dr Ste C Hayden ID 83835-5037
Phone: (208) 635-5907
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-21-48437 Idaho

Profile Details

NPI number 1770092991
LBN Legal business name Parks, Jessica Mary Katherine
Credentials MS, BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2017
Last updated Apr 21st, 2023 - about 3 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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