Jennifer Beloff

Individual provider Active NPI Behavior Analyst · Gloucester, MA

NPI 1487010013 · NPPES record last updated Jan 12, 2016

Key facts

NPI
1487010013
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
180 Main Street
Gloucester, MA 01930
Phone
(978) 282-1000
Fax
(978) 283-0523
NPI assigned
Jan 12, 2016
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Yes

Addresses

Primary practice location

180 Main Street
Gloucester, MA 01930

Mailing address

180 Main Street
Gloucester, MA 01930
Phone (978) 282-1000

Other providers in Gloucester, MA

All providers in Gloucester, MA · Behavior Analyst in Massachusetts

Sources for this page

Verify at the official NPI Registry.