Laurie Jean Jaruse

Individual provider Active NPI Behavior Analyst · East Taunton, MA

NPI 1275835175 · NPPES record last updated Nov 28, 2010

Key facts

NPI
1275835175
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
S67139123 (MA)
Practice address
126 Bluejay LN
East Taunton, MA 02718-5130
Phone
(508) 821-9643
NPI assigned
Nov 28, 2010
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
S67139123MAMDBehavioral Analyst

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X S67139123 MA Yes

Addresses

Primary practice location

126 Bluejay LN
East Taunton, MA 02718-5130

Mailing address

126 Bluejay LN
East Taunton, MA 02718-5130
Phone (508) 821-9643

Other providers in East Taunton, MA

All providers in East Taunton, MA · Behavior Analyst in Massachusetts

Sources for this page

Verify at the official NPI Registry.