Wixon, Jennifer L

Wixon, Jennifer L is an sole proprietor health care provider with primary practice located at 1482 Premier Village Way Fl Usa , Clearwater FL 33764-2885. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Wixon, Jennifer L can be contacted via phone (727) 278-6765.

Contact Information

Primary practice address
1482 Premier Village Way Fl Usa Clearwater FL 33764-2885
Phone: (727) 278-6765
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1093334393
LBN Legal business name Wixon, Jennifer L
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 16th, 2020
Last updated Nov 7th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1093334393 NPPES
Florida MEDICAID 110767000

Popular Providers