Provider Demographics
NPI:1336035690
Name:SCALZO, JARROD (MSED, BCBA, LABA)
Entity type:Individual
Prefix:
First Name:JARROD
Middle Name:
Last Name:SCALZO
Suffix:
Gender:M
Credentials:MSED, BCBA, LABA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 DIANNE RD
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02155-1568
Mailing Address - Country:US
Mailing Address - Phone:203-619-1954
Mailing Address - Fax:
Practice Address - Street 1:28 DIANNE RD
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02155-1568
Practice Address - Country:US
Practice Address - Phone:203-619-1954
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-14
Last Update Date:2025-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No252Y00000XAgenciesEarly Intervention Provider Agency