NPI 1306584552 · live from the CMS NPI Registry
Erica Jesseman
Behavior Analyst in Old Orchard Beach, ME. National Provider Identifier 1306584552, active.
NPI record
| NPI | 1306584552 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 91 Union Ave, Old Orchard Beach, ME 04064 |
| Practice phone | 207-756-0000 |
| Enumerated | May 26, 2022 |
| Last updated | May 26, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 1-22-57945 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.