Active NPI
Jaclyn Kendall Bliss
- Behavior Analyst
- South Easton, MA
National Provider Identifier
1548670334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 19 Sierra Dr
South Easton, MA 02375-1251 - Phone
- (508) 269-2242
- NPI assigned
- May 1, 2014
- Last updated
- May 1, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | NU | Primary |
Addresses
Primary practice location
19 Sierra Dr
South Easton, MA 02375-1251
Mailing address
19 Sierra Dr
South Easton, MA 02375-1251
Phone (508) 269-2242
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398902400000",
"number": "1548670334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 SIERRA DR",
"city": "SOUTH EASTON",
"state": "MA",
"postal_code": "023751251",
"telephone_number": "508-269-2242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 SIERRA DR",
"city": "SOUTH EASTON",
"state": "MA",
"postal_code": "023751251",
"telephone_number": "508-269-2242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLISS",
"first_name": "JACLYN",
"middle_name": "KENDALL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-01",
"last_updated": "2014-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Easton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.