Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Jessica Daverin, MSED

Individual provider Behavior Analyst · NPI 1447511340

Mrs. Jessica Daverin, MSED is a Behavior Analyst in Lake Grove, New York. Practices as a sole proprietor. Licensed in New Jersey, New York and Pennsylvania.

Licensed in
NJ, NY, PA
In the registry since
2012
Specialties on file
4

Practice location Address checks out

21 Ashford Dr
Lake Grove, NY 11755-2839
Phone: (516) 993-0177
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 000371 (NY)
Behavior Analyst Taxonomy 103K00000X · Licence BH007117 (PA)
Behavior Analyst Taxonomy 103K00000X · Licence 15BC00011600 (NJ)
Specialist Taxonomy 174400000X

Record details

NPI number1447511340
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSED
Sole proprietorYes
NPI enumeratedJune 6, 2012
Last updated in NPPESOctober 24, 2025
Certification dateOctober 24, 2025

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