JILL LARSEN BCBA NPI 1972700433

NPI Information

NPI: 1972700433
Provider Name: JILL LARSEN, BCBA
Classification: Psychologist - 103TM1800X
Entity Type: Individual

Specialization: Intellectual and Developmental Disabilities

Address:
100 CUMMINGS CENTER
SUITE 151-B
BEVERLY, MA
ZIP 01915
Phone: (978) 993-8096
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Jill Larsen, BCBA is an intellectual and developmental disabilities in Beverly, MA. Jill Larsen, BCBA NPI is 1972700433. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

100 CUMMINGS CENTER
SUITE 151-B
BEVERLY, MA
ZIP 01915
Phone: (978) 993-8096

The enumeration date for this NPI number is 6/28/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TM1800X	Psychologist	Intellectual and Developmental Disabilities	1073293	MASSACHUSETTS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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