NPI 1477969541 · live from the CMS NPI Registry
Gretchen Jefferson, Ph.D., BCBA-D, NCSP
Behavior Analyst in Westbrook, ME. National Provider Identifier 1477969541, active.
NPI record
| NPI | 1477969541 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 15 Saunders Way Woodfords Family Services, Westbrook, ME 04092 |
| Practice phone | 207-232-7443 |
| Mailing address | 1 Crescent St # 1, Portland, ME 04102 |
| Enumerated | July 9, 2014 |
| Last updated | July 9, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 1-04-1922 (ME) |
| Psychologist, School | 103TS0200X | 31656 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.