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NPI Code Detail

MEDICARE: AMANDA JOCHIM BCBA

MEDICARE: AMANDA JOCHIM 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
1222Q00000XDevelopmental Therapist
2103K00000XBehavior Analyst

General Provider Information

NPI Number : 1124441100
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA JOCHIM BCBA
Provider Business Mailing Address
First Line : 31 HILLER RD
Second Line :
City : ROCHESTER
State : MA
Zip : 02770-4024
Country : US
Telephone Number : 774-454-1994
Fax Number : 508-273-2353
Provider Business Practice Location Address
First Line : 31 HILLER RD
Second Line :
City : ROCHESTER
State : MA
Zip : 02770-4024
Country : US
Telephone Number : 774-454-1994
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2014
Last Update Date : 05/03/2021

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02770-4024
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Directions to “ AMANDA JOCHIM BCBA” Practice Location

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