IndividualActive
Jeremy Licciardo
NPI 1982396719 · Behavior Technician · Gardner, MA
Jeremy Licciardo is a Behavior Technician provider in Gardner, MA (NPI 1982396719).
Provider details
- NPI number
- 1982396719
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(52/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
19 Wright St Apt 2
Gardner, MA 01440-2937
Phone: (978) 413-3290
Street-level locationGet directions
Mailing address
7108 S Kanner Hwy
Stuart, FL 34997-7462
Registry dates
- Enumerated
- 2023-05-22
- Last updated
- 2023-05-22
- Certified
- 2023-05-22
Frequently asked questions
- What is Jeremy Licciardo's NPI number?
- Jeremy Licciardo's National Provider Identifier (NPI) is 1982396719, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jeremy Licciardo's specialty?
- Jeremy Licciardo is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Jeremy Licciardo located?
- Jeremy Licciardo's practice location on file with NPPES is 19 Wright St Apt 2, Gardner, MA 01440-2937.
- What is Jeremy Licciardo's phone number?
- The practice phone number listed in the NPPES registry for Jeremy Licciardo is (978) 413-3290.
- Is Jeremy Licciardo's NPI active?
- Yes — Jeremy Licciardo's NPI (1982396719) is active in the NPPES registry as of the last update on 2023-05-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.