Active NPIIndividual provider

Jenna Waz, MA, BCBA

Behavior Analyst in Middlefield, Connecticut

NPI Number1316346612
Practice location
21 Orchard Ln, Middlefield, CT 06455-1151
Fax
860-349-2280
Last updated
August 22, 2014

Jenna Waz is a Behavior Analyst based in Middlefield, CT. Jenna Waz practices in Middlefield, CT and has the professional credentials of MA, BCBA. The NPI Number for Jenna Waz is 1316346612 and holds a License No. 1-10-7692 (IL). The current practice location address for Jenna Waz is 21 Orchard Ln, Middlefield, CT 06455-1151 and can be reached out via phone at 860-250-5849 and via fax at 860-349-2280.

Provider Profile Details

NPI Number
1316346612
Provider Name
Jenna Waz
Credential
MA, BCBA
Provider Entity Type
Individual
Gender
Female
Address
21 Orchard Ln, Middlefield, CT 06455-1151
Phone Number
860-250-5849
Fax Number
860-349-2280
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
No
Provider Enumeration Date
August 22, 2014
Last Update Date
August 22, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
21 Orchard Ln
Middlefield, CT 06455-1151
Zip
06455-1151
Phone Number
860-250-5849
Fax Number
860-349-2280
Middlefield, CT 06455Get directions →

Provider Business Mailing Address Details

Address
8200 Woodglen Ln
#201
Downers Grove, IL 60516-4551
City
Downers Grove
State
IL
Zip
60516-4551
Phone Number
602-471-6802
Fax Number
630-395-9198

License Information

License Number
1-10-7692
License State
IL
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 Jenna Waz, MA, BCBA?

The NPI number of Jenna Waz, MA, BCBA is 1316346612. It was assigned on August 22, 2014 and is currently active in the NPPES registry.

What is the specialty of Jenna Waz, MA, BCBA?

Jenna Waz, MA, BCBA is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in IL under license number 1-10-7692.

Where does Jenna Waz, MA, BCBA practice?

The practice location is 21 Orchard Ln, Middlefield, CT 06455-1151. The office can be reached at 860-250-5849 (phone) or 860-349-2280 (fax).

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 1316346612 directly on the NPPES registry website.

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