NPI 1982076485 · live from the CMS NPI Registry
Foreside Behavior Associates
Psychologist, Clinical in Portland, ME. National Provider Identifier 1982076485, active.
NPI record
| NPI | 1982076485 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 1321 Washington Ave Ste 302, Portland, ME 04103 |
| Practice phone | 207-613-7324 |
| Enumerated | October 22, 2015 |
| Last updated | November 23, 2022 |
| Authorized official | Susan Jarmuz-Smith, Clinical Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | — |
| Psychologist, Clinical primary | 103TC0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.