Provider Demographics
NPI:1881167716
Name:OZNER, JESSICA FRIEDENBERG
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:FRIEDENBERG
Last Name:OZNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 SEVEN SPRINGS LN APT 201
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01803-5183
Mailing Address - Country:US
Mailing Address - Phone:160-331-5977
Mailing Address - Fax:
Practice Address - Street 1:24 SEVEN SPRINGS LN APT 201
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:MA
Practice Address - Zip Code:01803-5183
Practice Address - Country:US
Practice Address - Phone:160-331-5977
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-03
Last Update Date:2019-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician