NPI 1073928156 · live from the CMS NPI Registry
Jessica L Bolyard, BCBA
Behavior Analyst in Morgantown, WV. National Provider Identifier 1073928156, active.
NPI record
| NPI | 1073928156 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 3309 Darrah Ave, Morgantown, WV 26508 |
| Practice phone | 304-319-2282 |
| Enumerated | June 26, 2014 |
| Last updated | July 23, 2015 |
| Sole proprietor | No |
| Other names | Jessica Nelson |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 1-12-12117 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.