JESSICA WALLACE (NPI# 1821517210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821517210 |
| Entity Type | Individual |
| Full Name | JESSICA WALLACE |
| Practice Address |
43835 Timber Sq Unit 203 Leesburg VA 20176-3432 |
| Practice Telephone | 2404465118 |
| Mailing Telephone | 2404465118 |
| Enumeration Date | 2017-09-17 |
| Last Update Date | 2020-10-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871089680 | Jessica Renee Wallace | Nurse Practitioner | 1821 E. High St., Springfield, OH 45505 | 2018-07-04 |
| 1548639560 | Jessica Ann Wallace | Physician Assistant | 1890 Us Highway 131 Unit 4, Petoskey, MI 49770-8344 | 2015-09-21 |
| 1285031682 | Jessica Wallace | Speech-Language Pathologist | 2900 Knox School Rd, Alliance, OH 44601-9021 | 2014-12-01 |
| 1073940888 | Jessica Wallace | Marriage & Family Therapist | 15611 Pomerado Rd Ste 535, Poway, CA 92064-2437 | 2013-10-11 |
| 1245577907 | Jessica Wallace | Pharmacist | 6175 Hickory Flat Hwy, Suite 140, Canton, GA 30115-7207 | 2013-01-14 |
| 1659637478 | Jessica Lynn Wallace | Community/Behavioral Health | 26652 Muse Road, Muse, OK 74949 | 2012-04-05 |
| 1669751418 | Jessica Leigh Wallace | Physical Therapist | 224 Old River Rd, Bluffton, SC 29909-3952 | 2011-08-11 |
| 1689846164 | Jessica Nicole Wallace | Registered Nurse | 655 Front St, Middleport, OH 45760 | 2008-03-25 |
| 1710507371 | Jessica M Wallace | Nurse Anesthetist, Certified Registered | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2020-04-23 |
| 1306483359 | Jessica Wallace | Behavior Technician | 3130 S Durango Dr Ste 425, Las Vegas, NV 89117-4455 | 2019-12-09 |
| Street Address |
43835 TIMBER SQ UNIT 203 |
| City | LEESBURG |
| State | VA |
| Zip Code | 20176-3432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912923 | Timothy Michael Nixon | Pharmacist | 61 Catoctin Circle, Leesburg, VA 20176 | 2020-11-05 |
| 1558996645 | Stacey E Moran | Occupational Therapist | 44124 Woodrige Parkway, Lansdowne, VA 20176 | 2020-03-09 |
| 1710531272 | Joseph H Kasuska Jr. | Specialist/Technologist | 19455 Deerfield Ave. Suite 306, Lansdowne, VA 20176 | 2019-08-01 |
| 1568935849 | Joel Manalang Polintan Jr. | Physical Therapist | 171 Cedarwalk Circle, Leesburg, VA 20176 | 2019-01-09 |
| 1194203026 | Jing Cao | Acupuncturist | 19450 Deerfield Ave Ste 275, Leesburg, VA 20176 | 2018-08-02 |
| 1134648314 | Alaina Marie Gotwalt | Speech-Language Pathologist | 43850 Heatherstone Terrace, Unit 406, Leesburg, VA 20176 | 2017-09-19 |
| 1841717105 | Happy Inhome Care Corp | Respite Care | 722 E Market St Ste 103, Leesburg, VA 20176 | 2017-08-28 |
| 1912423484 | Aaa Good Healthcare LLC | Nursing Care | 722 East Market Street Ne, Suite 102, Leesburg, VA 20176 | 2017-08-16 |
| 1740704253 | Anna Maria Domingo Seaford | Physician Assistant | 19441 Golf Vista Plz Ste 230, Lansdowne, VA 20176 | 2017-07-27 |
| 1710436480 | Reena Patel | Physician Assistant | 224 Cornwall St Nw Leesburg Orthope, Unit 204, Leesburg, VA 20176 | 2016-09-23 |
| Find all providers in zip 20176 | ||||
| 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 |
|---|---|---|---|---|
| 1982235990 | Faith Christiane Hendon | Behavioral Analyst | 305 Harrison St Se Ste 1a, Leesburg, VA 20175-3729 | 2020-01-29 |
| 1740771534 | Nicole Smoker | Behavioral Analyst | 55 Ems T6 Ln, Leesburg, IN 46538-9423 | 2018-05-29 |
| 1528594223 | Stefanie Henderson | Behavioral Analyst | 2858 W Main St, Leesburg, FL 34748-4631 | 2017-05-02 |
| 1245617661 | Katherine Wilcox | Behavioral Analyst | 574 Edmonton Ter Ne, Leesburg, VA 20176-1829 | 2015-05-05 |
| 1881081768 | Janet Rogers | Behavioral Analyst | 605 Smartts Ln Ne, Leesburg, VA 20176-6608 | 2015-04-18 |
| 1164819280 | Hayley Robertson | Behavioral Analyst | 801 Childrens Center Road Sw, Leesburg, VA 20175 | 2015-04-16 |
| 1114317245 | Rose Casaleno | Behavioral Analyst | 43586 Popes Creek Sq, Leesburg, VA 20176-6550 | 2015-01-27 |
| 1265832091 | Amanda Dee Walker | Behavioral Analyst | 34042 Sunset Ave, Leesburg, FL 34788-4356 | 2014-08-29 |
| 1295149581 | Alexsandra Gruszczyk | Behavioral Analyst | 1650 W Main St Ste 1, 08371600, Leesburg, FL 34748-2842 | 2014-06-16 |
| 1790115350 | Ahmed Salem | Behavioral Analyst | 801 Childrens Center Road Sw, Leesburg, VA 20175 | 2013-11-19 |
| Find all providers in LEESBURG | ||||
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| 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.