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NPI Code Detail

MEDICARE: JESSICA FILAK BCBA

MEDICARE:   JESSICA  FILAK  BCBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior AnalystCOBA.01764OH
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1285128835
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA FILAK BCBA
Provider Business Mailing Address
First Line : 150 N. MILLER ROAD
Second Line : SUITE 150A
City : FAIRLAWN
State : OH
Zip : 44333-3713
Country : US
Telephone Number : 330-867-2240
Fax Number : 330-630-3198
Provider Business Practice Location Address
First Line : 2736 MEDINA ROAD
Second Line : SUITE 108
City : MEDINA
State : OH
Zip : 44256-9801
Country : US
Telephone Number : 330-867-2240
Fax Number : 330-630-3198
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2018
Last Update Date : 12/02/2025

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