National Provider Identifier
Jessica Cortina
Jessica Cortina is listed in the NPPES registry with a primary specialty of Behavior Analyst in Fairport, NY and a listed phone number of (585) 489-7415.
Profile Overview
- NPI
- 1548096993
- Provider Type
- Individual
- Primary Specialty
- Behavior Analyst
- Enumeration Date
- September 11, 2024
- Last Updated
- September 11, 2024
Practice Location
- 11 Margo Dr
- Fairport, NY 14450-2543
Phone: (585) 489-7415
Mailing Address
- 7041 Transit RD
- East Amherst, NY 14051-1108
Specialties
- Behavior Analyst (103K00000X)
Full Record
- NPI
- 1548096993
- Entity Type
- Individual
- Last Name
- Cortina
- First Name
- Jessica
- Provider Other Last Name
- O'Connell
- Provider Other First Name
- Jessica
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 7041 Transit RD
- Mailing City
- East Amherst
- Mailing State
- NY
- Mailing ZIP Code
- 14051-1108
- Mailing Country
- US
- Practice Street Address
- 11 Margo Dr
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450-2543
- Practice Country
- US
- Practice Phone
- (585) 489-7415
- Enumeration Date
- September 11, 2024
- Last Updated
- September 11, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- September 11, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Behavior Analyst (103K00000X)