Christelle Tracy Jourdain
Behavior Technician in Malden, MA. Individual provider (NPI-1).
NPI number1396398129
StatusActive
Last updated in NPPESJul 21, 2019
Details
- NPI
- 1396398129
- Entity type
- Individual (NPI-1)
- Name
- Christelle Tracy Jourdain
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 21, 2019
- Last updated
- Jul 21, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
124 Sammett StMalden, MA 02148-5804
Phone 781-502-1876
Mailing address
124 Sammett StMalden, MA 02148-5804
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 23 Behavior Technician providers in Malden · All 1,311 providers in Malden
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