Smith, Jalysa

Smith, Jalysa is an individual health care provider with primary practice located at 7000 Austin St , Forest Hills NY 11372. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Smith, Jalysa can be contacted via phone (718) 762-7633.

Contact Information

Primary practice address
7000 Austin St Forest Hills NY 11372
Phone: (718) 762-7633
Fax: (718) 886-8694
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1538686332
LBN Legal business name Smith, Jalysa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2017
Last updated Jul 21st, 2022 - 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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