Vergara, Jennifer Dawn

Vergara, Jennifer Dawn is an sole proprietor health care provider with primary practice located at 5628 36Th Ave N , St Petersburg FL 33710-1914. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Vergara, Jennifer Dawn can be contacted via phone (727) 424-1578.

Contact Information

Primary practice address
5628 36Th Ave N St Petersburg FL 33710-1914
Phone: (727) 424-1578
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X 0167393
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1053762401
LBN Legal business name Vergara, Jennifer Dawn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2016
Last updated Aug 8th, 2023 - 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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