Active NPIIndividual provider

Ms. Jazmyn S Souryamat, MA, BCBA, LABA

Behavior Analyst in Worcester, Massachusetts

NPI Number1225601206
Practice location
35 Wall St Apt C, Worcester, MA 01604-3746
Fax
—
Last updated
July 19, 2021

Jazmyn S Souryamat is a Behavior Analyst based in Worcester, MA. Jazmyn S Souryamat practices in Worcester, MA and has the professional credentials of MA, BCBA, LABA. The NPI Number for Jazmyn S Souryamat is 1225601206 and holds a License No. 3482 (MA). The current practice location address for Jazmyn S Souryamat is 35 Wall St Apt C, Worcester, MA 01604-3746 and can be reached out via phone at 231-499-4636.

Provider Profile Details

NPI Number
1225601206
Provider Name
Jazmyn S Souryamat
Credential
MA, BCBA, LABA
Provider Entity Type
Individual
Gender
Female
Address
35 Wall St Apt C, Worcester, MA 01604-3746
Phone Number
231-499-4636
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
No
Provider Enumeration Date
July 19, 2021
Last Update Date
July 19, 2021
Certification Date
July 19, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
35 Wall St Apt C
Worcester, MA 01604-3746
Zip
01604-3746
Phone Number
231-499-4636
Worcester, MA 01604Get directions →

Provider Business Mailing Address Details

Address
35 Wall St Apt C
Worcester, MA 01604-3746
City
Worcester
State
MA
Zip
01604-3746
Phone Number
231-499-4636

License Information

License Number
3482
License State
MA
Taxonomy
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 Ms. Jazmyn S Souryamat, MA, BCBA, LABA?

The NPI number of Ms. Jazmyn S Souryamat, MA, BCBA, LABA is 1225601206. It was assigned on July 19, 2021 and is currently active in the NPPES registry.

What is the specialty of Ms. Jazmyn S Souryamat, MA, BCBA, LABA?

Ms. Jazmyn S Souryamat, MA, BCBA, LABA is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in MA under license number 3482.

Where does Ms. Jazmyn S Souryamat, MA, BCBA, LABA practice?

The practice location is 35 Wall St Apt C, Worcester, MA 01604-3746. The office can be reached at 231-499-4636 (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 1225601206 directly on the NPPES registry website.

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