Woolard, Jillian K

Woolard, Jillian K is an individual health care provider with primary practice located at 1790 Sw 43Rd Way , Fort Lauderdale FL 33317-5701. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Woolard, Jillian K can be contacted via phone (855) 442-2454.

Contact Information

Primary practice address
1790 Sw 43Rd Way Fort Lauderdale FL 33317-5701
Phone: (855) 442-2454
Fax: (954) 206-7699
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1669611695
LBN Legal business name Woolard, Jillian K
Credentials B.C.B.A.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2009
Last updated Dec 4th, 2017 - about 7 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 1669611695 NPPES
Other 1-09-5778 BEHAVIOR ANALYST CERTIFICATION BOARD

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