Thweatt-Burton, Jacqueline
Thweatt-Burton, Jacqueline is an sole proprietor health care provider with primary practice located at 530 Scarce Creek Rd , Lexington TN 38351-8561. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Thweatt-Burton, Jacqueline can be contacted via phone (731) 614-3101.Contact Information
Primary practice address
530 Scarce Creek Rd
Lexington TN 38351-8561
Phone: (731) 614-3101
Fax: (228) 300-2113
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1891318986 |
|---|---|
| LBN Legal business name | Thweatt-Burton, Jacqueline |
| Credentials | BCBA, LBA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 22nd, 2020 |
| Last updated | Jul 20th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891318986 | NPPES |
| Mississippi | MEDICAID | 06888361 |
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