Jessica Clark Adams
Individual provider Active NPI Behavior Analyst · Sandwich, MA
NPI 1912413402 · NPPES record last updated Dec 19, 2017
Key facts
- NPI
- 1912413402
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 449 RT. 6a
Sandwich, MA 02563 - Phone
- (508) 843-6540
- NPI assigned
- Dec 19, 2017
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
449 RT. 6a
Sandwich, MA 02563
Mailing address
35 Pin Oak Way
Falmouth, MA 02540-2660
Phone (508) 360-7114
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- Munir Ahmed
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- Katherine R Baslik
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All providers in Sandwich, 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 Dec 19, 2017. 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.