Provider Demographics
NPI:1891237491
Name:FIRMAN, JESSICA (LSW, BCBA)
Entity Type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:
Last Name:FIRMAN
Suffix:
Gender:F
Credentials:LSW, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 WESTBURY DR
Mailing Address - Street 2:
Mailing Address - City:GILBERTSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19525-9458
Mailing Address - Country:US
Mailing Address - Phone:484-995-3866
Mailing Address - Fax:
Practice Address - Street 1:150 WESTBURY DR
Practice Address - Street 2:
Practice Address - City:GILBERTSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19525-9458
Practice Address - Country:US
Practice Address - Phone:484-995-3866
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-14
Last Update Date:2016-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
13-13999103K00000X
PASW124089104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst