Kendorski, Jessica

Kendorski, Jessica is an individual health care provider with primary practice located at 41 Pacella Park Dr , Randolph MA 02368-1755. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Kendorski, Jessica can be contacted via phone (781) 440-0400.

Contact Information

Primary practice address
41 Pacella Park Dr Randolph MA 02368-1755
Phone: (781) 440-0400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-10-7326

Profile Details

NPI number 1194024505
LBN Legal business name Kendorski, Jessica
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2011
Last updated Apr 23rd, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194024505 NPPES
Massachusetts MEDICAID 110026265

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