| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JESSICA MARIE ESPOSITO | 1659093508 | 2022-09-16 |
Jessica Marie Esposito is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1659093508. Registration indicates Jessica Marie Esposito is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Behavioral Analyst (Behavioral Health & Social Service Providers, Behavioral Analyst) (Behavioral Analyst, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Behavioral Analyst, Behavioral Health & Social Service Providers)
| Entity Type | Individual |
| Provider Name | Jessica Marie Esposito |
| Practice Office Address | 120 WEBSTER SQUARE RD BERLIN, CT US |
| Practice Office Telephone | 8604203800 |
| Practice Office Fax | 8604203801 |
| Mailing Address | 120 WEBSTER SQUARE RD BERLIN, CT 060372329 US |
| Business Telephone | 8604203800 |
| Business Fax | 8604203801 |
| Code | Practice | License No State |
|---|---|---|
| 103K00000X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Behavioral Analyst Behavioral Health & Social Service Providers Behavioral Analyst Behavioral Analyst Behavioral Health/Substance Abuse/Psychiatry Behavioral Analyst Behavioral Health & Social Service Providers |
| 1107 | OTHER | CT | STATE LICENSE |