MEDICARE: JESSICA HELDT

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	103K00000X	Behavior Analyst	004763	NY

General Provider Information

NPI Number	:	1306797246
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA HELDT

Provider Business Mailing Address
First Line	:	39 COLONIAL DR APT F
Second Line	:
City	:	NEW PALTZ
State	:	NY
Zip	:	12561-1840
Country	:	US
Telephone Number	:	845-897-1788
Fax Number	:	845-897-1789

Provider Business Practice Location Address
First Line	:	25 ROUTE 376
Second Line	:
City	:	HOPEWELL JUNCTION
State	:	NY
Zip	:	12533-7211
Country	:	US
Telephone Number	:	845-897-1788
Fax Number	:	845-897-1789

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

Provider Enumeration Date	:	02/06/2026
Last Update Date	:	02/06/2026

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