MEDICARE: MS. JESSICA ZWEIG 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
1	103K00000X	Behavior Analyst	2667	MA

General Provider Information

NPI Number	:	1780030361
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JESSICA ZWEIG BCBA

Provider Business Mailing Address
First Line	:	1301 E ORANGEWOOD AVE
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92805-6807
Country	:	US
Telephone Number	:	8-249-1266
Fax Number	:

Provider Business Practice Location Address
First Line	:	418 CENTRE ST UNIT C
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02130-5197
Country	:	US
Telephone Number	:	800-249-1286
Fax Number	:

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

Provider Enumeration Date	:	05/12/2016
Last Update Date	:	01/07/2023

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