NPI 1902791817 · live from the CMS NPI Registry
Jessica Gaulin, LBS
Behavior Analyst in Philadelphia, PA. National Provider Identifier 1902791817, active.
NPI record
| NPI | 1902791817 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 1059 Bridge St, Philadelphia, PA 19124 |
| Practice phone | 267-225-7180 |
| Mailing address | 200 Forest Dr, Wilmington, DE 19804 |
| Enumerated | June 11, 2025 |
| Last updated | June 11, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | BH007658 (PA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.