Active NPIIndividual provider

Jessica M Sullivan

Behavior Analyst in Westford, Massachusetts

NPI Number1205321775
Practice location
515 Groton RD, Westford, MA 01886-6321
Fax
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Last updated
September 15, 2023

Jessica Marie Sullivan is a Behavior Analyst based in Westford, MA. Jessica Marie Sullivan practices in Westford, MA. The NPI Number for Jessica Marie Sullivan is 1205321775 and holds a License No. 10000462 (MA). The current practice location address for Jessica Marie Sullivan is 515 Groton RD, Westford, MA 01886-6321 and can be reached out via phone at 800-679-3609.

Provider Profile Details

NPI Number
1205321775
Provider Name
Jessica Marie Sullivan
Provider Entity Type
Individual
Gender
Female
Address
515 Groton RD, Westford, MA 01886-6321
Phone Number
800-679-3609
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
No
Provider Enumeration Date
June 27, 2018
Last Update Date
September 15, 2023
Certification Date
September 15, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
515 Groton RD
Westford, MA 01886-6321
Zip
01886-6321
Phone Number
800-679-3609
Westford, MA 01886Get directions →

Provider Business Mailing Address Details

Address
515 Groton RD
Westford, MA 01886-6321
City
Westford
State
MA
Zip
01886-6321
Phone Number
800-679-3609

License Information

Taxonomy (1)
Behavior Technician · 106S00000X
License Number (2)
10000462
License State (2)
MA
Taxonomy (2)
Behavior Analyst · 103K00000X · Primary

Legacy Identifiers

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

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Frequently Asked Questions

What is the NPI number of Jessica M Sullivan?

The NPI number of Jessica M Sullivan is 1205321775. It was assigned on June 27, 2018 and is currently active in the NPPES registry.

What is the specialty of Jessica M Sullivan?

Jessica M Sullivan is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in MA under license number 10000462.

Where does Jessica M Sullivan practice?

The practice location is 515 Groton RD, Westford, MA 01886-6321. The office can be reached at 800-679-3609 (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 1205321775 directly on the NPPES registry website.

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