Larsen, Jill

Larsen, Jill is an sole proprietor health care provider with primary practice located at 100 Cummings Center Suite 151-B, Beverly MA 01915. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, which is considered as her primary health care specialty. Larsen, Jill can be contacted via phone (978) 993-8096.

Contact Information

Primary practice address
100 Cummings Center Suite 151-B Beverly MA 01915
Phone: (978) 993-8096
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X 1073293 Massachusetts

Profile Details

NPI number 1972700433
LBN Legal business name Larsen, Jill
Credentials BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2007
Last updated Jul 8th, 2007 - about 18 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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