JESSICA MAE STOUT (NPI# 1336772573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336772573 |
| Entity Type | Individual |
| Full Name | JESSICA MAE STOUT |
| Credential | BCBA, LBA |
| Practice Address |
7611 Coppermine Dr Manassas VA 20109-2668 |
| Mailing Address |
3040 Avemore Square Pl Charlottesville VA 22911-7228 |
| Practice Telephone | 7034967804 |
| Practice Fax Number | 5408981040 |
| Mailing Telephone | 7034967804 |
| Enumeration Date | 2020-02-17 |
| Last Update Date | 2020-02-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 0133001578 | VA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770192783 | Jessica Stout | Pharmacist | 2707 Celanese Rd, Rock Hill, SC 29732-9406 | 2020-07-26 |
| 1174021174 | Jessica Stout | Pharmacist | 200 W Fleming Dr, Morganton, NC 28655-3918 | 2018-01-25 |
| 1619381423 | Jessica Stout | Internal Medicine | One Hospital Dr, Columbia, MO 65212-0001 | 2014-06-19 |
| 1033430673 | Jessica L Stout | Counselor | 4455 Ne Highway 20, Corvallis, OR 97330 | 2010-06-17 |
| 1124162656 | Jessica Stout | Social Worker | 15 Research Dr, Ann Arbor, MI 48103-2974 | 2007-02-17 |
| Street Address |
7611 COPPERMINE DR |
| City | MANASSAS |
| State | VA |
| Zip Code | 20109-2668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982019808 | Ellen Murray Saxena | Behavioral Analyst | 7611 Coppermine Dr, Manassas, VA 20109-2668 | 2014-06-30 |
| 1285265017 | Paul Hedg-peth | Social Worker | 7611 Coppermine Dr, Manassas, VA 20109-2668 | 2020-01-30 |
| 1245702265 | Brittany Pierceall | Behavioral Analyst | 7611 Coppermine Dr, Manassas, VA 20109-2668 | 2019-01-02 |
| 1184161168 | Lonnica Darden | Counselor | 7611 Coppermine Dr, Manassas, VA 20109-2668 | 2017-01-27 |
| 1578945184 | Leah Franzel | Behavioral Analyst | 7611 Coppermine Dr, Manassas, VA 20109-2668 | 2015-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275151854 | Laura Zabel | Social Worker | 10220 Launch Circle #103, Manassas, VA 20109 | 2020-07-09 |
| 1659910677 | Leigh Cristi Babin-adkins | Registered Nurse | 10550 Linden Lake Plazza, Manassas, VA 20109 | 2019-12-23 |
| 1326686221 | Sophie Louise Elliot | Speech-Language Pathologist | 10550 Linden Lake Plaza Suite 100, Manassas, VA 20109 | 2019-12-11 |
| 1962978221 | Dominique Marie Cytryn | Behavior Technician | Family Insight, P.C., 7730 Donegan Dr, Manassas, VA 20109 | 2018-10-15 |
| 1255829008 | Lyusyena Teper | Physical Therapist | 11662 Sudley Manor Dr Ste 50-b, Manassas, VA 20109 | 2018-04-27 |
| 1861995060 | Mylisa L Ickes | Counselor | 7982 Donegan Drive, Manassas, VA 20109 | 2018-03-14 |
| 1336641885 | Stephanie Joanne Gamboa | Behavior Technician | 1037 Battleview Pkwy, Manassas, VA 20109 | 2018-03-01 |
| 1154822237 | Katherine Sholl | Behavior Technician | 10370 Battleview Parkway, Manassas, VA 20109 | 2018-02-23 |
| 1386168615 | Northern Virginia Checker Cab LLC | Taxi | 7631 Coppermine Dr, Manassas, VA 20109 | 2017-07-28 |
| 1407383201 | Monique Lowery | Social Worker | 7403 Emerald Dr., Manassas, VA 20109 | 2017-05-11 |
| Find all providers in zip 20109 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659993525 | Brittani Gomes | Behavioral Analyst | 10906 Coverstone Dr Apt C3, Manassas, VA 20109-7226 | 2020-05-13 |
| 1710511969 | Kristin Ohaneson | Behavioral Analyst | 7140 Royal Fern Cir Apt 404, Manassas, VA 20111-3651 | 2020-02-26 |
| 1548734064 | Lizna Khimani | Behavioral Analyst | 9720 Capital Ct Ste 404, Manassas, VA 20110-2052 | 2019-01-17 |
| 1396221842 | Leah Joy Maddox | Behavioral Analyst | 9963 Mallow St, Manassas, VA 20110-4218 | 2018-07-18 |
| 1023554680 | Elizabeth Atkins Schabinger | Behavioral Analyst | 10686 Crestwood Dr Ste A&b, Manassas, VA 20109-4407 | 2017-01-06 |
| 1013467869 | Kelly Muldoon | Behavioral Analyst | 7780 Waller Dr, Manassas, VA 20111-2881 | 2016-10-05 |
| 1346618865 | Carolyn Sendi | Behavioral Analyst | 7270 Yates Ford Rd, Manassas, VA 20111-3906 | 2015-09-15 |
| 1831576628 | Sherry Nicole Csutoros | Behavioral Analyst | 10686 Crestwood Dr Ste B, Manassas, VA 20109-4407 | 2015-04-30 |
| 1104210855 | Alejandro Solis | Behavioral Analyst | 7730 Donegan Dr, Manassas, VA 20109 | 2015-03-20 |
| 1225420565 | Jerald Donald Matters | Behavioral Analyst | 8565 Fairfax St, Manassas, VA 20110-4815 | 2015-02-24 |
| Find all providers in MANASSAS | ||||
Please comment or provide details below to improve the information on JESSICA MAE STOUT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.