MEDICARE: JENNIFER HART SHEFLIN

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	106S00000X	Behavior Technician
2	222Q00000X	Developmental Therapist
3	106S00000X	Behavior Technician	1058941	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1058941	OTHER	MA	BACB

General Provider Information

NPI Number	:	1982954608
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER HART SHEFLIN

Provider Business Mailing Address
First Line	:	321 FORTUNE BLVD
Second Line	:
City	:	MILFORD
State	:	MA
Zip	:	01757-1750
Country	:	US
Telephone Number	:	508-478-0207
Fax Number	:	508-634-6984

Provider Business Practice Location Address
First Line	:	72 ACCORD PARK DR
Second Line	:
City	:	NORWELL
State	:	MA
Zip	:	02061-1606
Country	:	US
Telephone Number	:	781-923-0900
Fax Number	:

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

Provider Enumeration Date	:	09/11/2012
Last Update Date	:	07/22/2024

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Directions to “ JENNIFER HART SHEFLIN ” Practice Location

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