Taveras, Jessica
Taveras, Jessica is an individual health care provider with primary practice located at 4114 12Th St Apt 4C , Long Island City NY 11101-7637. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Taveras, Jessica can be contacted via phone (347) 855-9039.Contact Information
Primary practice address
4114 12Th St Apt 4C
Long Island City NY 11101-7637
Phone: (347) 855-9039
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1205442761 |
|---|---|
| LBN Legal business name | Taveras, Jessica |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2020 |
| Last updated | Sep 21st, 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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