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Jenna L Wallack , MS, BCBA

Behavior Analyst β€’ Lunenburg, MA

Active NPI 1518526730 Individual Practitioner Female Practitioner
Practice location in NPPES

132 Robbs Hill Rd
Lunenburg, MA 014622167

Call 9788463318 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

132 Robbs Hill Rd

Lunenburg, MA 014622167

Telephone 9788463318
Organization at the Same NPPES Address or Phone
Innovative Autism Connections, Llc Facility NPI 1417468364

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Lunenburg and Massachusetts

50 active clinicians are listed under Behavior Analyst with a practice address in Lunenburg, MA (4,730 in Massachusetts).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Lunenburg

0% of these 50 clinicians have the CMS telehealth indicator.

0% of these 50 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-06-15
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES MA 11832632

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Massachusetts Board of Registration in Medicine.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Paul Lison , LCSW

Social Worker

NPI 1245745082

Licensed Clinical Social Worker

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ‘€
Provider Name / Credentials Updated June 15, 2023

Recorded as JENNA WALLACK, M.S, BCBA

πŸ“
Updated Practice Location July 31, 2019

Registered at 132 ROBBS HILL RD, LUNENBURG, MA 014622167 (Tel: 9788463318)

βœ…
NPI Profile Active June 11, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 11, 2019

Registered at 43 CHUBB RD, FRAMINGHAM, MA 017017804 (Tel: 9788463318)

πŸ“
Business Mailing Address (Initial Record) June 11, 2019

Registered at 41 THOMAS AVE, HAVERHILL, MA 018324468

πŸ‘€
Provider Name / Credentials (Initial Record) June 11, 2019

Recorded as JENNA FORD, M.S, BCBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2019

Behavior Analyst (license number reported to NPPES: MA 11832632)

🟒
Initial NPI Registration & Enumeration June 11, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1518526730
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 11, 2019
Last Update: June 15, 2023
Sole Proprietor: No

Mailing Address

41 Thomas Ave

Haverhill, MA 018324468

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.