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Contact Information

JUMPSTART, LLC
8500 WASHINGTON ST NE STE A1
ALBUQUERQUE, NM87113-1861
 Phone: 505-828-3837
 Fax: 877-828-1550
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JUMPSTART LLC · (Female)

NPI Number 1225206105
Status Active
Credentials
Entity Individual
Enumeration date 02/13/2008
Last updated 08/22/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • NM License # 0877
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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