Active NPIIndividual provider

Jennifer Makuch, BCBA

Behavior Analyst in West Brookfield, Massachusetts

NPI Number1679743942
Practice location
23 Ware St, West Brookfield, MA 01585-3137
Fax
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Last updated
January 22, 2025

Jennifer Makuch is a Behavior Analyst based in West Brookfield, MA. Jennifer Makuch practices in West Brookfield, MA and has the professional credentials of BCBA. The NPI Number for Jennifer Makuch is 1679743942 and holds a License No. 1102 (CT). The current practice location address for Jennifer Makuch is 23 Ware St, West Brookfield, MA 01585-3137 and can be reached out via phone at 508-963-2213.

Provider Profile Details

NPI Number
1679743942
Provider Name
Jennifer Makuch
Credential
BCBA
Provider Entity Type
Individual
Gender
Female
Address
23 Ware St, West Brookfield, MA 01585-3137
Phone Number
508-963-2213
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
No
Provider Enumeration Date
March 3, 2008
Last Update Date
January 22, 2025
Certification Date
January 22, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
23 Ware St
West Brookfield, MA 01585-3137
Zip
01585-3137
Phone Number
508-963-2213
West Brookfield, MA 01585Get directions →

Provider Business Mailing Address Details

Address
52 Clover Springs Dr
Willington, CT 06279-1846
City
Willington
State
CT
Zip
06279-1846
Phone Number
508-831-8753

License Information

License Number (1)
1102
License State (1)
CT
Taxonomy (1)
Behavior Analyst · 103K00000X
License Number (2)
1-05-2253
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 Jennifer Makuch, BCBA?

The NPI number of Jennifer Makuch, BCBA is 1679743942. It was assigned on March 3, 2008 and is currently active in the NPPES registry.

What is the specialty of Jennifer Makuch, BCBA?

Jennifer Makuch, BCBA is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in CT under license number 1102.

Where does Jennifer Makuch, BCBA practice?

The practice location is 23 Ware St, West Brookfield, MA 01585-3137. The office can be reached at 508-963-2213 (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 1679743942 directly on the NPPES registry website.

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