MEDICARE: JESSICA D KASSEL

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
1	106S00000X	Behavior Technician	RBT-24-390464	PA

General Provider Information

NPI Number	:	1043141187
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA D KASSEL

Provider Business Mailing Address
First Line	:	640 FREEDOM BUSINESS CTR DR STE 220
Second Line	:
City	:	KING OF PRUSSIA
State	:	PA
Zip	:	19406-1376
Country	:	US
Telephone Number	:	484-965-9966
Fax Number	:

Provider Business Practice Location Address
First Line	:	2090 GREENTREE RD STE 100
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15220-1472
Country	:	US
Telephone Number	:	484-965-9966
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2026
Last Update Date	:	05/27/2026

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Directions to “ JESSICA D KASSEL ” Practice Location

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