Staten, Jaleesa

Staten, Jaleesa is an individual health care provider with primary practice located at 1420 Walnut St , Philadelphia PA 19102-4017. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Staten, Jaleesa can be contacted via phone (215) 527-6740.

Contact Information

Primary practice address
1420 Walnut St Philadelphia PA 19102-4017
Phone: (215) 527-6740
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1508467390
LBN Legal business name Staten, Jaleesa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2020
Last updated Nov 6th, 2020 - about 4 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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