NPI 1982575536 · live from the CMS NPI Registry
Jessica Balut, BCBA, COBA
Behavior Analyst in Avon, OH. National Provider Identifier 1982575536, active.
NPI record
| NPI | 1982575536 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 36711 American Way, Avon, OH 44011 |
| Practice phone | 216-282-1234 |
| Mailing address | 6830 Cochran Rd, Solon, OH 44139 |
| Enumerated | September 16, 2025 |
| Last updated | September 16, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 1-25-82193 (OH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.