Williams, Jannel Jessi

Williams, Jannel Jessi is an sole proprietor health care provider with primary practice located at 8480 Baltimore National Pike #126 Suite 3210, Ellicott City MD 21043. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Williams, Jannel Jessi can be contacted via phone (914) 713-7974.

Contact Information

Primary practice address
8480 Baltimore National Pike #126 Suite 3210 Ellicott City MD 21043
Phone: (914) 713-7974
Fax:
Website:
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Health care specialties

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

Profile Details

NPI number 1104556257
LBN Legal business name Williams, Jannel Jessi
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2022
Last updated Jun 13th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104556257 NPPES
Maryland MEDICAID 45902189200

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