Jiana Eisenberg
Individual provider Active NPI Behavior Technician · South Burlington, VT
NPI 1508599788 · NPPES record last updated Jul 6, 2022
Key facts
- NPI
- 1508599788
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 110 Kimball Ave Ste 125
South Burlington, VT 05403-6851 - Phone
- (802) 489-5395
- NPI assigned
- Jul 6, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Autism Bridges LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
110 Kimball Ave Ste 125
South Burlington, VT 05403-6851
Mailing address
360 Route 101 Ste 11
Bedford, NH 03110-5031
Phone (603) 471-2522
Other providers in South Burlington, VT
- DTGC, PC
- Jenal Dumas
- Angela Dunkling
- Eat What Feels Great Nutrition
- Jessica Lynn Edwards
- Elcm Manor South Management LLC
- Elevate Health Chiropractic LLC
- Jennifer May Elsinger
- Gamal H Eltabbakh
- Georgia D Eltabbakh
All providers in South Burlington, VT · Behavior Technician in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2022. 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.