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Contact Information

JACLYN N BROOKS, MS, LBA, BCBA
1600 S MAIN ST
LEBANON, OR97355-3109
 Phone: 541-915-0787
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Behavior Analyst

103K00000X
Indicates primary specialty

NPI Profile & details for JACLYN N BROOKS · (Female)

NPI # 1306327416
Status Active
Credentials MS, LBA, BCBA
Entity Individual
Enumeration date 08/27/2018
Last updated 10/19/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers Not Available
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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