Individual
DR. JESSICA R EVERETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., BCBA-D, LABA
Contact information
Practice address
10 NEW DRIFTWAY STE 302, SCITUATE, MA 02066-4546
(781) 738-4886
Mailing address
278 CLAPP RD, SCITUATE, MA 02066-3015
(781) 738-4886
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-07-3780
MA
103T00000X
Psychologist
9026
MA
103TC0700X
Clinical Psychologist
Primary
9026
MA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
9026
MA
Other
Enumeration date
02/24/2011
Last updated
11/10/2024
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