Provider Demographics
NPI:1316743008
Name:LIPTON-O'CONNOR, JENNIFER (PHD, BCBA-D, LABA)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:
Last Name:LIPTON-O'CONNOR
Suffix:
Gender:F
Credentials:PHD, BCBA-D, LABA
Other - Prefix:DR
Other - First Name:JENNIFER
Other - Middle Name:
Other - Last Name:LIPTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:21 JOSEPH RD
Mailing Address - Street 2:
Mailing Address - City:NORTHBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01532-2353
Mailing Address - Country:US
Mailing Address - Phone:617-953-0128
Mailing Address - Fax:
Practice Address - Street 1:21 JOSEPH RD
Practice Address - Street 2:
Practice Address - City:NORTHBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01532-2353
Practice Address - Country:US
Practice Address - Phone:617-953-0128
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-22
Last Update Date:2025-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALABA3556103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst