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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. JESSICA DAVERIN, MS ED

Active Sole Proprietor

MRS. JESSICA DAVERIN, MS ED is a Behavior Analyst healthcare provider located in LAKE GROVE, New York. NPI 1447511340 is currently active in the NPPES registry. Verify at CMS.

Behavior Analyst · LAKE GROVE, NY

Registration Details

NPI Number
1447511340
Provider Type
Individual
Gender
Female
NPI Issued
Jun 6, 2012 (14.185899592946 yrs)
Last Updated
Oct 24, 2025
Licenses
BH007117 (PA)
15BC00011600 (NJ)
000371 (NY)
Sole Proprietor
Yes

Practice Information

Address
21 ASHFORD DR
LAKE GROVE, NY, 117552839
Browse NY providers · Browse ZIP 11755
Phone
5169930177
Primary Specialty
Behavior Analyst
103K00000X
Additional Specialty
Behavior Analyst
Additional Specialty
Specialist
Additional Specialty
Behavior Analyst

Other Behavior Analyst Providers in LAKE GROVE, NY

Name Credential NPI
ERIN KATHLEEN BEATTY 1346387727
GINO FRANCESCO PENA M.S.ED 1972935138
ROSARIA CELANO 1841681897
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.