NPI 1922788546 · live from the CMS NPI Registry
Jessica Fortin
Behavior Analyst in Winchester, VA. National Provider Identifier 1922788546, active.
NPI record
| NPI | 1922788546 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 120 Bellview Ave, Winchester, VA 22601 |
| Practice phone | 540-542-0200 |
| Mailing address | 2727 Winchester Ave, Martinsburg, WV 25405 |
| Enumerated | July 19, 2023 |
| Last updated | July 19, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.