Jenna Nicole Smolag
Assistant Behavior Analyst
67 Surrey Dr
North Andover
, Massachusetts 01845-1817
Jenna Nicole Smolag
Assistant Behavior Analyst
67 Surrey Dr
North Andover
, Massachusetts 01845-1817
(978) 809-0496
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About
Features
Specialties
- Assistant Behavior Analyst
Languages spoken
- English
Location
First Address
- Jenna Nicole Smolag
- 67 Surrey Dr
- North Andover, MA
- Zip : 01845-1817
- Phone : (978) 809-0496
Second Address
- Jenna Nicole Smolag
- 67 Surrey Dr
- North Andover, MA
- Zip : 01845-1817
- Phone : (978) 809-0496
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst |
National Provider Identifier
| NPI | 1063001766 |
|---|---|
| Provider Name | Jenna Nicole Smolag |
| First Address | North Andover, MA 01845-1817 |
| Second Address | North Andover, MA 01845-1817 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/01/2021 |
| Last Update Date | 16/01/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.