Jessica N Whalen
Behavior Technician in Melville, NY. Individual provider (NPI-1).
NPI number1760140271
StatusActive
Last updated in NPPESDec 1, 2021
Details
- NPI
- 1760140271
- Entity type
- Individual (NPI-1)
- Name
- Jessica N Whalen
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 1, 2021
- Certification date
- Dec 1, 2021
- Last updated
- Dec 1, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
225 Broadhollow Rd Ste 402Melville, NY 11747-4899
Phone 631-385-7780
Mailing address
8 Flamingo DrSmithtown, NY 11787-3308
Phone 631-235-2449
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