Stucky, Jessika Tyler

Stucky, Jessika Tyler is an individual health care provider with primary practice located at 2701 17Th St Csu Department, Rock Island IL 61201. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Stucky, Jessika Tyler can be contacted via phone (309) 779-2778.

Contact Information

Primary practice address
2701 17Th St Csu Department Rock Island IL 61201
Phone: (309) 779-2778
Fax:
Website:
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Health care specialties

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

Profile Details

NPI number 1841907292
LBN Legal business name Stucky, Jessika Tyler
Credentials MHP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2022
Last updated Nov 3rd, 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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