Individual
JASON SHUTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
35 INDUSTRIAL WAY STE 15, ROCHESTER, NH 03867-6202
(561) 323-6593
Mailing address
135 MCKEAGNEY RD, MILTON, NH 03851-4815
(603) 507-8800
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042197449
TRICARE
MA
Enumeration date
06/16/2010
Last updated
09/12/2025
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