Jack Thomas Desrocher

Behavior Analyst · Windsor, CT

Individual Active NPI

NPI number 1669103974

Practice location

360 Bloomfield Ave Ste 301
Windsor, CT 06095-2700
Phone
(877) 418-2978

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NPI record

NPI
1669103974
Entity type
Individual (Type 1)
Enumeration date
June 19, 2022
Last updated
June 19, 2022
Certified
June 19, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X — —

Mailing address

350 Fairway Dr Ste 101
Deerfield Beach, FL 33441-1834
Phone
(877) 418-2978
Fax
(866) 500-2186

About Jack Desrocher

Jack Thomas Desrocher is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 360 Bloomfield Ave Ste 301, Windsor, CT 06095-2700. The NPI number 1669103974 was assigned on June 19, 2022 and the record was last updated on June 19, 2022.

Frequently asked questions

What is the NPI number of Jack Thomas Desrocher?

The NPI number is 1669103974.

What is the phone number of Jack Desrocher?

The phone number listed for the practice location is (877) 418-2978.

Where is Jack Desrocher located?

360 Bloomfield Ave Ste 301, Windsor, CT 06095-2700.

What is the taxonomy code for Jack Desrocher?

The primary taxonomy code is 103K00000X – Behavior Analyst.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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