Active NPIIndividual provider

Mrs. Sokhorn Jerdan, BCBA

Behavior Analyst in Wilmington, Massachusetts

NPI Number1760778690
Practice location
64H Concord St, Wilmington, MA 01887-2179
Fax
339-227-6968
Last updated
March 5, 2019

Sokhorn Jerdan is a Behavior Analyst based in Wilmington, MA. Sokhorn Jerdan practices in Wilmington, MA and has the professional credentials of BCBA. The NPI Number for Sokhorn Jerdan is 1760778690 and holds a License No. 2596 (MA). The current practice location address for Sokhorn Jerdan is 64H Concord St, Wilmington, MA 01887-2179 and can be reached out via phone at 781-333-5310 and via fax at 339-227-6968.

Provider Profile Details

NPI Number
1760778690
Provider Name
Sokhorn Jerdan
Credential
BCBA
Provider Entity Type
Individual
Gender
Female
Address
64H Concord St, Wilmington, MA 01887-2179
Phone Number
781-333-5310
Fax Number
339-227-6968
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
No
Provider Enumeration Date
June 20, 2011
Last Update Date
March 5, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
64H Concord St
Wilmington, MA 01887-2179
Zip
01887-2179
Phone Number
781-333-5310
Fax Number
339-227-6968
Wilmington, MA 01887Get directions →

Provider Business Mailing Address Details

Address
64H Concord St
Wilmington, MA 01887-2179
City
Wilmington
State
MA
Zip
01887-2179
Phone Number
781-333-5310
Fax Number
339-227-6968

License Information

License Number
2596
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 Mrs. Sokhorn Jerdan, BCBA?

The NPI number of Mrs. Sokhorn Jerdan, BCBA is 1760778690. It was assigned on June 20, 2011 and is currently active in the NPPES registry.

What is the specialty of Mrs. Sokhorn Jerdan, BCBA?

Mrs. Sokhorn Jerdan, BCBA is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in MA under license number 2596.

Where does Mrs. Sokhorn Jerdan, BCBA practice?

The practice location is 64H Concord St, Wilmington, MA 01887-2179. The office can be reached at 781-333-5310 (phone) or 339-227-6968 (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 1760778690 directly on the NPPES registry website.

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