MS. JAZMYN S SOURYAMAT MA, BCBA, LABA
NPI 1225601206
Behavior Analyst in Worcester, MA

Active since July 19, 2021
35 WALL ST APT C, WORCESTER, MA 01604(231) 499-4636 Get Directions Write a Review

NPPES record last updated: July 19, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Jazmyn S Souryamat Ma, Bcba, Laba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. JAZMYN S SOURYAMAT MA, BCBA, LABA (NPI 1225601206) is an individual behavior analyst provider in Worcester, Massachusetts, licensed in Massachusetts (3482) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1225601206
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameMS. JAZMYN S SOURYAMATCredential: MA, BCBA, LABA
Location Address35 WALL ST APT CWorcester, MA 01604-3746
Mailing Address35 Wall St Apt CWorcester, MA 01604-3746 · (231) 499-4636
Sole ProprietorNo
Enumeration DateJuly 19, 2021
NPPES CertifiedJuly 19, 2021
NPI 1225601206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License Licensed in MA · 3482
Definition

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.

35 WALL ST APT C, Worcester, MA 01604

Other Identifiers 1

Other15189471MA · Caqh

Accepted Insurance

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Behavior Analyst
35 WALL ST APT C
WORCESTER, MA 01604
Behavior Analyst
35 WALL ST APT C
WORCESTER, MA 01604

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225601206, enumerated as an "individual" on July 19, 2021.

The provider is located at 35 WALL ST APT C WORCESTER, MA 01604 and the phone number is (231) 499-4636.

Behavior Analyst with taxonomy code 103K00000X.

The provider might be accepting Accepts: McLaren Health Plan Community, Providence Health. Please consult your insurance carrier or call the provider to verify.