Individual provider · Type 1 NPI
Jill Larsen, BCBA
Intellectual & Developmental Disabilities Psychologist · Beverly, MA
NPI number
1972700433
Active
Practice location
100 Cummings Center, Suite 151-B
Beverly, MA 01915
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual & Developmental Disabilities Psychologist Primary | 103TM1800X | 1073293 (MA) |
Intellectual & Developmental Disabilities Psychologist: Definition to come...
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About NPI 1972700433
Jill Larsen, BCBA's National Provider Identifier is 1972700433, issued on Jun 28, 2007. The primary taxonomy on file is Intellectual & Developmental Disabilities Psychologist (103TM1800X), and the practice location is in Beverly, MA. The record was last updated on Jul 8, 2007.