NPI 1649651068 · live from the CMS NPI Registry
Jessica Andino
Behavior Analyst in Charlotte, NC. National Provider Identifier 1649651068, active.
NPI record
| NPI | 1649651068 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 701 Forest Point Cir, Charlotte, NC 28273 |
| Practice phone | 980-375-6801 |
| Mailing address | 3500 Depauw Blvd Ste 3070, Indianapolis, IN 46268 |
| Enumerated | June 11, 2015 |
| Last updated | January 11, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | — (FL) |
| Behavior Analyst primary | 103K00000X | 1-19-37603 (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.