IndividualActive
Jill Larsen, BCBA
NPI 1972700433 · Intellectual & Developmental Disabilities Psychologist · Beverly, MA
Provider details
- NPI number
- 1972700433
- Entity type
- Individual
- Primary specialty
- Intellectual & Developmental Disabilities PsychologistBehavioral Health & Social Service Providers
- Credential
- BCBA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1073293 (MA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
100 Cummings Center
Suite 151-B
Beverly, MA 01915
Phone: (978) 993-8096
Approximate (ZIP-level) locationGet directions
Mailing address
100 Cummings Center
Beverly, MA 01915
Registry dates
- Enumerated
- 2007-06-28
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.