NPI 1073118964 · live from the CMS NPI Registry
Jerry L Early
Behavior Analyst in Charleston, WV. National Provider Identifier 1073118964, active.
NPI record
| NPI | 1073118964 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 1420 Kanawha Blvd W, Charleston, WV 25387 |
| Practice phone | 304-344-4303 |
| Enumerated | December 1, 2020 |
| Last updated | December 1, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.