Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1023684537 Deactivated / Inactive NPI Female Practitioner

Jacklyn S Gavin

Specialist/Technologist - Speech-Language Assistant • Norwell, MA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jacklyn Gavin has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 03, 2021
NPI Deactivation Date August 18, 2023
Total Practice Duration ~2 Years of Practice (2021 – 2023)

Professional Overview & Biography Verified Profile Summary

Jacklyn Gavin was a registered Specialist/Technologist - Speech-Language Assistant practicing in Norwell, MA. Throughout an active medical career spanning 2 years, Jacklyn Gavin provided care at the practice location at 80 WASHINGTON ST STE P55 until profile deactivation on 2023-08-18.

Practice Location & Contact Primary Location

Practice Address

80 Washington St Ste P55

Norwell, MA 020611742

Telephone 7812903886
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Speech-Language Assistant in Norwell, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
5 Specialists

Practicing in Norwell, MA (111 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-09-06
Specialist/Technologist - Speech-Language Assistant Primary Specialty

NUCC Taxonomy Code: 2355S0801X

Definition to come...

Behavior Technician

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Sarah Daly

Behavior Technician

NPI 1003410572
Ciara Gregoli

Behavior Technician

NPI 1013412261
Allison Culkin

Behavior Analyst

NPI 1013522143
Jacquelyn Leafer

Behavior Technician

NPI 1023695871
Nicole Puia

Behavior Technician

NPI 1023862042
Genevieve Kasarjian

Behavior Analyst

NPI 1033630009

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
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NPI Profile Reactivated September 06, 2023

Record officially reactivated for active practice on September 06, 2023

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NPI Profile Deactivated August 18, 2023

Record deactivated on August 18, 2023

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 07, 2022

Behavior Technician

NPI Profile Active June 03, 2021

NPI status registered as active in NPPES database

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Updated Practice Location June 03, 2021

Registered at 80 WASHINGTON ST STE P55, NORWELL, MA 020611742 (Tel: 7812903886)

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Updated Business Mailing Address June 03, 2021

Registered at 40 WOODCLIFF RD, HOLBROOK, MA 023431130

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Provider Name / Credentials Updated June 03, 2021

Recorded as JACKLYN GAVIN

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2021

Behavior Analyst

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Initial NPI Registration & Enumeration June 03, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1023684537
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 03, 2021
Last Update: September 06, 2023
Deactivation Date: August 18, 2023
Sole Proprietor: Yes

Mailing Address

40 Woodcliff Rd

Holbrook, MA 023431130

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.