Worcester, Jonathan Alan

Worcester, Jonathan Alan is an individual health care provider with primary practice located at 81 Hope Ave , Worcester MA 01603-2212. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is his primary health care specialty. Worcester, Jonathan Alan can be contacted via phone (508) 320-4991.

Contact Information

Primary practice address
81 Hope Ave Worcester MA 01603-2212
Phone: (508) 320-4991
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 1020 Massachusetts
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 341 Massachusetts

Profile Details

NPI number 1770725111
LBN Legal business name Worcester, Jonathan Alan
Credentials PH.D., NCSP, BCBA-D
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2009
Last updated Nov 1st, 2020 - about 4 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 1770725111 NPPES
Other 33311 NATIONAL SCHOOL PSYCHOLOGY CERTIFICATION BOARD
Other 341 NATIONAL SCHOOL PSYCHOLOGY CERTIFICATION BOARD
Other 20743 NATIONAL SCHOOL PSYCHOLOGY CERTIFICATION BOARD
Other 1020 NATIONAL SCHOOL PSYCHOLOGY CERTIFICATION BOARD
Other 1-03-1200 NATIONAL SCHOOL PSYCHOLOGY CERTIFICATION BOARD

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