Smith, Jessica

Smith, Jessica is an sole proprietor health care provider with primary practice located at 1739 N Elston Ave , Chicago IL 60642-1544. 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. Smith, Jessica can be contacted via phone (773) 687-9241.

Contact Information

Primary practice address
1739 N Elston Ave Chicago IL 60642-1544
Phone: (773) 687-9241
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-22-216144 Illinois
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X BACB786156 Illinois

Profile Details

NPI number 1134866387
LBN Legal business name Smith, Jessica
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2022
Last updated Apr 4th, 2024 - 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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