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NPI Code Detail

MEDICARE: DR. JESSICA LEE PARANCZAK PHD

MEDICARE: DR. JESSICA LEE PARANCZAK PHD
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 Analyst
2103K00000XBehavior Analyst726TN

General Provider Information

NPI Number : 1689156937
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JESSICA LEE PARANCZAK PHD
Provider Business Mailing Address
First Line : 1906 GLEN ECHO RD UNIT 158404
Second Line :
City : NASHVILLE
State : TN
Zip : 37215-3071
Country : US
Telephone Number : 302-593-5512
Fax Number :
Provider Business Practice Location Address
First Line : 1906 GLEN ECHO RD UNIT 158404
Second Line :
City : NASHVILLE
State : TN
Zip : 37215-3071
Country : US
Telephone Number : 302-593-5512
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/04/2018
Last Update Date : 07/02/2025

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