Provider Demographics
NPI:1417295296
Name:PEBLER, JOCELYN (BCBA)
Entity Type:Individual
Prefix:
First Name:JOCELYN
Middle Name:
Last Name:PEBLER
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:JOCELYN
Other - Middle Name:
Other - Last Name:JENKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:THERAPEUTIC MENTOR
Mailing Address - Street 1:113 CROSBY RD STE 1
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820-4370
Mailing Address - Country:US
Mailing Address - Phone:603-516-9300
Mailing Address - Fax:603-740-9179
Practice Address - Street 1:36 INDUSTRIAL WAY STE 1
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03867-4291
Practice Address - Country:US
Practice Address - Phone:603-516-9300
Practice Address - Fax:603-740-9179
Is Sole Proprietor?:No
Enumeration Date:2013-01-29
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No104100000XBehavioral Health & Social Service ProvidersSocial Worker