Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JASHA WOODALL, BCBA
Active Sole ProprietorJASHA WOODALL, BCBA is a Behavior Analyst healthcare provider located in POUGHQUAG, New York. NPI 1861004970 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · POUGHQUAG, NY
Registration Details
- NPI Number
- 1861004970
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 19, 2020 (5.9840494163049 yrs)
- Last Updated
- Aug 19, 2020
- License
-
1-20-43620
- Sole Proprietor
- Yes
Practice Information
- Address
-
91 BEACH RDPOUGHQUAG, NY, 125705133Browse NY providers · Browse ZIP 12570
- Phone
- 8456259052
- Primary Specialty
-
Behavior Analyst
103K00000X
Other Behavior Analyst Providers in POUGHQUAG, NY
| Name | Credential | NPI |
|---|---|---|
| DANIELLE MICERA | BCBA, LBA | 1114384625 |
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.