Peterson, Jessica Vashaun

Peterson, Jessica Vashaun is an sole proprietor health care provider with primary practice located at 4189 White Rd , Snellville GA 30039-4242. She recently has only one registered license in Behavioral Health & Social Service Providers / Assistant Behavior Analyst, which is considered as her primary health care specialty. Peterson, Jessica Vashaun can be contacted via phone (470) 485-2220.

Contact Information

Primary practice address
4189 White Rd Snellville GA 30039-4242
Phone: (470) 485-2220
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X 0167450 Georgia

Profile Details

NPI number 1023652229
LBN Legal business name Peterson, Jessica Vashaun
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 30th, 2019
Last updated Oct 30th, 2019 - about 5 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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