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NPI 1043664212

Jessica Rose Freeman, BCaBA

Behavior Analyst · Charlotte, NC

Active in the CMS NPI RegistryNot on the OIG exclusion listchecked Oct 16, 2026, 5:32 pm EDT

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Jessica Rose Freeman, BCaBA is a health care provider (Behavior Analyst) in Charlotte, North Carolina with National Provider Identifier (NPI) 1043664212. The NPI was issued on Apr 14, 2016 and the registry record was last updated on Jun 28, 2019. The registry lists a license in North Carolina.

Registry record

NPI
1043664212
Type
Individual (NPI-1)
Primary specialty
Behavior Analyst 103K00000X
Practice location
10926 S Tryon St
Charlotte, NC 28273-4153
Phone
(855) 201-5498
NPI issued
Apr 14, 2016
Registry record updated
Jun 28, 2019
Other names
Jessica Rose Hatch (former name)

Specialties and licenses

SpecialtyTaxonomy codeLicense stateLicense
Behavior Analyst Primary103K00000XNorth Carolina8067

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Source: CMS National Plan and Provider Enumeration System (NPPES) and the HHS-OIG List of Excluded Individuals/Entities (list of Oct 9, 2026). Is this your record? Update it in NPPES or email info@2minutemedicine.com to have it hidden here.