Provider Demographics
NPI:1376070912
Name:POYER, JESSICA N (BCBA)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:N
Last Name:POYER
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:264 MAIN ST APT 6
Mailing Address - Street 2:
Mailing Address - City:MARLBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01752-5506
Mailing Address - Country:US
Mailing Address - Phone:508-630-4414
Mailing Address - Fax:
Practice Address - Street 1:9545 GEORGIA AVE
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-1438
Practice Address - Country:US
Practice Address - Phone:202-420-8359
Practice Address - Fax:202-420-8359
Is Sole Proprietor?:No
Enumeration Date:2017-05-14
Last Update Date:2017-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst