JESSICA MARIE LEWIS


Address: 526 W Centre Ave, Portage, MI 49024-5306
Phone: 2693219556

JESSICA MARIE LEWIS (NPI# 1710353537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710353537
Entity Type Individual
Full Name JESSICA MARIE LEWIS
Credential M.S., BCBA, LBA
Practice Address 526 W Centre Ave
Portage
MI 49024-5306
Practice Telephone 2693219556
Mailing Telephone 2693219556
Mailing Fax Number 2694591123
Enumeration Date 2015-08-16
Last Update Date 2020-06-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst 7401000643 MI Behavioral Health & Social Service Providers
N 103K00000X Behavioral Analyst 1-17-26151 Behavioral Health & Social Service Providers

Other Providers JESSICA LEWIS

NPI Name Taxonomy Address Enumeration
1366095705 Jessica Ht Lewis Specialist/Technologist 2506 Wilson Ave, Claymont, DE 19703-1871 2019-07-23
1750890570 Jessica Lewis Counselor 4949 Stumberg Ln Apt 146, Baton Rouge, LA 70816-4791 2017-09-25
1295193241 Jessica Lewis Social Worker 1525 Kings Hwy Ste 206, Fairfield, CT 06824-5321 2016-02-05
1710359963 Jessica Raquel Lewis Physical Therapy Assistant 1666 Carlyle Dr Apt H, Crofton, MD 21114-1428 2015-10-28
1083043699 Jessica Lynn Lewis Counselor 1002 Sw 14th Pl, Wagoner, OK 74467-7744 2013-11-04
1760799423 Jessica Nichole Lewis Speech-Language Pathologist 721 Old Winberry Rd, Newport, NC 28570-6151 2010-09-01
1639353709 Jessica Marie Lewis Licensed Practical Nurse 473 County Route 23, Constantia, NY 13044-3720 2007-12-24
1326186107 Jessica Beth Lewis Marriage & Family Therapist 167 Cherry St, #121, Milford, CT 06460-3466 2007-02-02
1477154086 Jessica Javonne Lewis Chiropractor 6239 College Ave Ste 201, Oakland, CA 94618-1384 2020-11-02
1740889930 Jessica Lewis Pharmacist 18101 W 119th St, Olathe, KS 66061-9532 2020-10-20

Office Location

Street Address 526 W CENTRE AVE
City PORTAGE
State MI
Zip Code 49024-5306

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033417092 Jamie S Goecker Behavioral Analyst 526 W Centre Ave, Portage, MI 49024-5306 2011-03-01
1144829680 Ericka Lynn Murnighan Behavior Technician 526 W Centre Ave, Portage, MI 49024-5306 2020-10-24
1841898954 Mckenzie Logan Behavior Technician 526 W Centre Ave, Portage, MI 49024-5306 2020-10-12
1881291730 Olivia Irene Morand Behavior Technician 526 W Centre Ave, Portage, MI 49024-5306 2020-10-05
1346857984 Brandy Mae Manning Behavior Technician 526 W Centre Ave, Portage, MI 49024-5306 2020-09-28
1710594833 Corrine N Fritzsche Behavioral Analyst 526 W Centre Ave, Portage, MI 49024-5306 2020-09-24
1376159079 Megan Kaye Shannon Behavior Technician 526 W Centre Ave, Portage, MI 49024-5306 2020-09-17
1093321978 Kristina Carpenter Behavior Technician 526 W Centre Ave, Portage, MI 49024-5306 2020-09-16
1023624954 Kloe Mae Edson Behavior Technician 526 W Centre Ave, Portage, MI 49024-5306 2020-09-16
1922614858 Natalie Taylor Mueller Behavior Technician 526 W Centre Ave, Portage, MI 49024-5306 2020-09-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134774524 Antonio Richard Barron Physician Assistant 5717 Oakland Dr Ste A, Portage, MI 49024 2019-08-03
1699279240 Julie Lynn Griffin Specialist/Technologist Portage Northern High School, 1000 Idaho Ave, Portage, MI 49024 2018-03-20
1194255711 Brittany Lynn Finkler Audiologist 576 Romence Rd Ste 121, Portage, MI 49024 2017-06-15
1164881207 Family & Children Services, Inc. Clinic/Center 1302 W Milham Ave, Portage, MI 49024 2016-02-17
1497127716 Huber Counseling, LLC Counselor 1591 West Centre Ave, Suite 102, Portage, MI 49024 2015-10-26
1659757466 Marie Porter Rehabilitation Practitioner 5724 Alten St, Portage, MI 49024 2015-08-04
1063824860 George Hughes General Practice 6630 Sunburst Dr, Portage, MI 49024 2014-05-28
1922358407 Kimberly Lynn Ellrich Speech-Language Pathologist Storypoint, 3951 W Milham Ave, Portage, MI 49024 2012-09-12
1942593744 Shamika Hall, Ph.d. & Associates, Pllc Community/Behavioral Health 7901 S. 12th St., Suite 201, Portage, MI 49024 2011-05-26
1306142815 Jody Lynn Wrathall Dentist 3020 Old Centre Rd, Portage, MI 49024 2011-01-31
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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184242216 Brittany O'grady Behavioral Analyst 2314 Helen Ave Ste 100, Portage, MI 49002-1684 2020-07-06
1710529623 Wesley Hyames Behavioral Analyst 5646 Bay Meadow Trl, Portage, MI 49024-1748 2019-10-11
1114375714 Jacob Adams Behavioral Analyst 6544 Hampton St, Portage, MI 49024-2534 2016-05-25
1548620537 Patricia Eid Behavioral Analyst 1016 E Milham Ave, Suite 2, Portage, MI 49002 2016-03-03
1104241611 Meredith Ayers Holland Behavioral Analyst 9616 Portage Road, Portage, MI 49002 2014-02-20
1740539808 Elian Aljadeff-abergel Behavioral Analyst 4415 Foxfire Trl, Portage, MI 49024-9572 2012-09-05
1033417092 Jamie S Goecker Behavioral Analyst 526 W Centre Ave, Portage, MI 49024-5306 2011-03-01
1205069804 Kari Carrington Behavioral Analyst 9616 Portage Rd, Portage, MI 49002-7257 2009-08-29
1164666558 Zachariah Thomas Dugger Behavioral Analyst 1617 E Milham Ave., Suite B, Portage, MI 49002-4336 2009-04-29
1255495628 Dianne Marie Wilson Behavioral Analyst 1617 E Milham Aver, Suite B, Portage, MI 49002 2006-12-20
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Competitor

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City PORTAGE
Zip Code 49024

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Dataset Information

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.

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