Jodie Anne Krueger, BA
Individual provider Active NPI Behavior Analyst · Spencer, MA
NPI 1447698253 · NPPES record last updated Jun 13, 2013
Key facts
- NPI
- 1447698253
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 3 Garrett LN
Spencer, MA 01562-2739 - Phone
- (508) 523-1479
- NPI assigned
- Jun 13, 2013
- 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
- Credentials
- Bachelor of Arts
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
3 Garrett LN
Spencer, MA 01562-2739
Mailing address
3 Garrett LN
Spencer, MA 01562-2739
Phone (508) 523-1479
Other names
- Jodie Anne Whitchomb
Other providers in Spencer, MA
- Richard Robert Kaufman
- Dina Kawmi
- Cheryl Keith-Podbelski
- Corinne Ann Kennedy
- Shadia S Kousi
- Joseph Kuruvilla
- Sierra L Lamonde
- Dylan Joseph Leblanc
- Jeffrey H Lee
- Emily Michelle Letendre
All providers in Spencer, MA · Behavior Analyst in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.