MRS. JESSICA DIANNE LICHT (NPI# 1396245262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396245262 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA DIANNE LICHT |
| Other Name | JESSICA DIANNE KELLY |
| Practice Address |
14235 Blanco Rd San Antonio TX 78216-7718 |
| Mailing Address |
5511 Pecan Spgs Apt 5108 San Antonio TX 78249-5305 |
| Practice Telephone | 2104159626 |
| Enumeration Date | 2018-02-17 |
| Last Update Date | 2018-02-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669851002 | Jessica Ann Licht | Dentist | 1080 S Van Dyke Rd Ste A, Bad Axe, MI 48413-9635 | 2015-05-19 |
| 1225596554 | Jessica Licht | Marriage & Family Therapist | 5923 Kanan Rd, Agoura Hills, CA 91301-1688 | 2019-03-05 |
| Street Address |
14235 BLANCO RD |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78216-7718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922214832 | Gia Koehne | Psychologist | 14235 Blanco Rd, San Antonio, TX 78216-7718 | 2007-05-15 |
| 1770190225 | Andria Jean Barrera | Behavior Technician | 14235 Blanco Rd, San Antonio, TX 78216-7718 | 2020-09-29 |
| 1588270839 | Britney Nicole Jones | Behavior Technician | 14235 Blanco Rd, San Antonio, TX 78216-7718 | 2020-09-22 |
| 1811501786 | Elizabeth C Cardona | Behavior Technician | 14235 Blanco Rd, San Antonio, TX 78216-7718 | 2020-09-08 |
| 1265046437 | Courtney Elizabeth Adams | Behavior Technician | 14235 Blanco Rd, San Antonio, TX 78216-7718 | 2020-09-03 |
| 1295351799 | Grace Elizabeth Jendrusch | Behavior Technician | 14235 Blanco Rd, San Antonio, TX 78216-7718 | 2020-06-19 |
| 1023654738 | Klaryssa Sanchez | Behavior Technician | 14235 Blanco Rd, San Antonio, TX 78216-7718 | 2019-11-18 |
| 1629612346 | Lonnie Cooper II | Behavior Technician | 14235 Blanco Rd, San Antonio, TX 78216-7718 | 2019-11-06 |
| 1346884038 | Amelia Guillen | Behavior Technician | 14235 Blanco Rd, San Antonio, TX 78216-7718 | 2019-11-05 |
| 1437709540 | Anna Sabrina Barrios | Behavior Technician | 14235 Blanco Rd, San Antonio, TX 78216-7718 | 2019-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376179820 | Damiana Lea Mcmahan | Speech-Language Pathologist | 12 Inter Park Blvd, #105, San Antonio, TX 78216 | 2020-03-17 |
| 1811530967 | Hacienda Hospice, Ltd | Hospice Care, Community Based | 101 W Silver Sands Dr, San Antonio, TX 78216 | 2019-10-22 |
| 1437792876 | Eddy Sidra | Optometrist | 7400 San Pedro Avenue, Suite 486, San Antonio, TX 78216 | 2019-10-17 |
| 1083256796 | Tiffany Michelle Goericke | Physical Therapist | 502 East Ramsey, San Antonio, TX 78216 | 2019-10-14 |
| 1780246942 | Esperanza Eating Disorders Center, Pllc | Clinic/Center | 403 E. Ramsey, Suite 204, San Antonio, TX 78216 | 2019-07-08 |
| 1568938314 | Lyric Lea Lewis | Licensed Vocational Nurse | 85 Ne Interstate 410 Loop #500, San Antonio, TX 78216 | 2018-10-19 |
| 1912488206 | Rebecca Anna Poppe | Licensed Vocational Nurse | 1514 Vista Del Norte, San Antonio, TX 78216 | 2018-08-24 |
| 1205338779 | Bailee Hannah Mokry | Behavioral Analyst | 11306 Sir Winston, San Antonio, TX 78216 | 2018-03-01 |
| 1487155677 | Ojer Corbie | Behavior Technician | 11310 Sir Winston At Bld D, San Antonio, TX 78216 | 2018-02-23 |
| 1366943631 | Briana Nicole Rodriguez | Behavior Technician | 14235 Blanco Road, San Antonio, TX 78216 | 2018-02-22 |
| Find all providers in zip 78216 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| 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. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861090672 | Mikayla Maida | Behavior Technician | 21727 Ih 10 W Ste 108, San Antonio, TX 78257-2108 | 2020-10-14 |
| 1831796770 | Keesha Ann Green | Behavior Technician | 5522 Lone Star Pkwy Building #3 Suite 101, San Antonio, TX 78253 | 2020-10-05 |
| 1417560723 | Aimee Zamora | Behavior Technician | 5730 Northwest Pkwy Ste 115, San Antonio, TX 78249-3378 | 2020-08-26 |
| 1073123121 | Minerva Mendoza | Behavior Technician | 6134 Higbee Ml, San Antonio, TX 78247-6227 | 2020-08-04 |
| 1124644208 | Honor Williams | Behavior Technician | 1607 Argos Star, San Antonio, TX 78245-2075 | 2020-06-24 |
| 1679198311 | Suzanne Danial | Behavior Technician | Bloom Behavioral and Educational Solutions, 1850 Lockhill Selma Rd #106, San Antonio, TX 78213 | 2020-06-09 |
| 1639794464 | Gabriel Ezequiel Cantu | Behavior Technician | 21727 I-10, Unit 108, San Antonio, TX 78257 | 2020-06-08 |
| 1184248486 | Acia Abdul-rakib | Behavior Technician | 5949 Babcock Rd, San Antonio, TX 78240-2485 | 2020-06-02 |
| 1013531623 | Kristie Leigh Lacy | Behavior Technician | 3524 Mountain Loop, San Antonio, TX 78261-2213 | 2020-05-31 |
| 1154956191 | Dominique Rivera | Behavior Technician | 802 Nevada St, San Antonio, TX 78203-1532 | 2020-03-10 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78216 |
Please comment or provide details below to improve the information on MRS. JESSICA DIANNE LICHT.
| 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.