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Jacklyn S Gavin

Specialist/Technologist - Speech-Language Assistant β€’ Norwell, MA

Active NPI 1023684537 Individual Practitioner Female Practitioner
Practice location in NPPES

80 Washington St Ste P55
Norwell, MA 020611742

Call 7812903886 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

80 Washington St Ste P55

Norwell, MA 020611742

Telephone 7812903886
Organization at the Same NPPES Address or Phone
Proven Behavior Solutions, Llc Facility NPI 1053786707

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

NPI first issued

2021

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, CMS release of October 2, 2026; 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, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Compared with the same specialty in Norwell and Massachusetts

4 active clinicians are listed under Specialist/Technologist - Speech-Language Assistant with a practice address in Norwell, MA (113 in Massachusetts).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, 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: 2023-09-06
Specialist/Technologist - Speech-Language Assistant Primary Specialty

NUCC Taxonomy Code: 2355S0801X

Behavior Technician

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

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

Career & Practice History Timeline

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

9 Historical Events
πŸ”„
NPI Profile Reactivated September 06, 2023

Record officially reactivated for active practice on September 06, 2023

⚠️
NPI Profile Deactivated August 18, 2023

NPPES lists this NPI as deactivated as of August 18, 2023; the reason is not published.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 07, 2022

Behavior Technician

βœ…
NPI Profile Active June 03, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 03, 2021

Registered at 80 WASHINGTON ST STE P55, NORWELL, MA 020611742 (Tel: 7812903886)

πŸ“
Business Mailing Address (Initial Record) June 03, 2021

Registered at 40 WOODCLIFF RD, HOLBROOK, MA 023431130

πŸ‘€
Provider Name / Credentials (Initial Record) June 03, 2021

Recorded as JACKLYN GAVIN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2021

Behavior Analyst

🟒
Initial NPI Registration & Enumeration June 03, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1023684537
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 03, 2021
Last Update: September 06, 2023
Sole Proprietor: Yes

Mailing Address

40 Woodcliff Rd

Holbrook, MA 023431130

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.