Active NPIIndividual providerSole proprietor

Mr. Gerald S Mcclellan, BCBA

Behavior Analyst in Yarmouth Port, Massachusetts

NPI Number1063743771
Practice location
41 Pheasant Cove Circle, Yarmouth Port, MA 02675-1022
Fax
—
Last updated
September 30, 2010

Gerald Stanley Mcclellan is a Behavior Analyst based in Yarmouth Port, MA. Gerald Stanley Mcclellan practices in Yarmouth Port, MA and has the professional credentials of BCBA. The NPI Number for Gerald Stanley Mcclellan is 1063743771 and holds a License No. 1-02-1013 (FL). The current practice location address for Gerald Stanley Mcclellan is 41 Pheasant Cove Circle, Yarmouth Port, MA 02675-1022 and can be reached out via phone at 860-930-1348.

Provider Profile Details

NPI Number
1063743771
Provider Name
Gerald Stanley Mcclellan
Credential
BCBA
Provider Entity Type
Individual
Gender
Male
Address
41 Pheasant Cove Circle, Yarmouth Port, MA 02675-1022
Phone Number
860-930-1348
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 20, 2010
Last Update Date
September 30, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
41 Pheasant Cove Circle
Yarmouth Port, MA 02675-1022
Zip
02675-1022
Phone Number
860-930-1348
Yarmouth Port, MA 02675Get directions →

Provider Business Mailing Address Details

Address
41 Pheasant Cove Circle
Yarmouth Port, MA 02675-1022
City
Yarmouth Port
State
MA
Zip
02675-1022
Phone Number
860-930-1348

License Information

License Number
1-02-1013
License State
FL
Taxonomy
Behavior Analyst · 103K00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Behavior Analysts near Yarmouth Port, MA

View all Behavior Analysts in Yarmouth Port →

Frequently Asked Questions

What is the NPI number of Mr. Gerald S Mcclellan, BCBA?

The NPI number of Mr. Gerald S Mcclellan, BCBA is 1063743771. It was assigned on January 20, 2010 and is currently active in the NPPES registry.

What is the specialty of Mr. Gerald S Mcclellan, BCBA?

Mr. Gerald S Mcclellan, BCBA is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in FL under license number 1-02-1013.

Where does Mr. Gerald S Mcclellan, BCBA practice?

The practice location is 41 Pheasant Cove Circle, Yarmouth Port, MA 02675-1022. The office can be reached at 860-930-1348 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063743771 directly on the NPPES registry website.

Browse related providers