Active NPIIndividual providerSole proprietor

Mrs. Jill K Jewell, EDM, BCBA

Behavior Analyst in Vineland, New Jersey

NPI Number1811294564
Practice location
1825 Pennsylvania Ave, Vineland, NJ 08361-7536
Fax
856-765-9081
Last updated
March 9, 2017

Jill Kristin Jewell is a Behavior Analyst based in Vineland, NJ. Jill Kristin Jewell practices in Vineland, NJ and has the professional credentials of EDM, BCBA. The NPI Number for Jill Kristin Jewell is 1811294564 and holds a License No. 1-13-12921. The current practice location address for Jill Kristin Jewell is 1825 Pennsylvania Ave, Vineland, NJ 08361-7536 and can be reached out via phone at 609-774-0978 and via fax at 856-765-9081.

Provider Profile Details

NPI Number
1811294564
Provider Name
Jill Kristin Jewell
Credential
EDM, BCBA
Provider Entity Type
Individual
Gender
Female
Address
1825 Pennsylvania Ave, Vineland, NJ 08361-7536
Phone Number
609-774-0978
Fax Number
856-765-9081
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
Yes
Other Names
-- Jill Kristin Procaccino (Former Name)
Provider Enumeration Date
February 15, 2011
Last Update Date
March 9, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
1825 Pennsylvania Ave
Vineland, NJ 08361-7536
Zip
08361-7536
Phone Number
609-774-0978
Fax Number
856-765-9081
Vineland, NJ 08361Get directions →

Provider Business Mailing Address Details

Address
1825 Pennsylvania Ave
Vineland, NJ 08361-7536
City
Vineland
State
NJ
Zip
08361-7536
Phone Number
609-774-0978
Fax Number
856-765-9081

License Information

License Number
1-13-12921
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. Jill K Jewell, EDM, BCBA?

The NPI number of Mrs. Jill K Jewell, EDM, BCBA is 1811294564. It was assigned on February 15, 2011 and is currently active in the NPPES registry.

What is the specialty of Mrs. Jill K Jewell, EDM, BCBA?

Mrs. Jill K Jewell, EDM, BCBA is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed under license number 1-13-12921.

Where does Mrs. Jill K Jewell, EDM, BCBA practice?

The practice location is 1825 Pennsylvania Ave, Vineland, NJ 08361-7536. The office can be reached at 609-774-0978 (phone) or 856-765-9081 (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 1811294564 directly on the NPPES registry website.

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