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NPI Code Detail

MEDICARE: MRS. JESSICA C SAWYER BCBA

MEDICARE: MRS. JESSICA C SAWYER 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
1103K00000XBehavior Analyst1-22-63296IN

General Provider Information

NPI Number : 1891254181
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JESSICA C SAWYER BCBA
Provider Business Mailing Address
First Line : 145 N WOOD ST
Second Line :
City : GRIFFITH
State : IN
Zip : 46319-2766
Country : US
Telephone Number : 708-724-2852
Fax Number :
Provider Business Practice Location Address
First Line : 5521 W LINCOLN HWY STE 101
Second Line :
City : CROWN POINT
State : IN
Zip : 46307-1118
Country : US
Telephone Number : 219-359-3272
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2019
Last Update Date : 11/14/2023

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Directions to “ MRS. JESSICA C SAWYER BCBA” Practice Location

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