JENESSA JACOBSEN RECOVERY ASSISTANT
NPI 1104298447
Behavior Technician in Russellville, AR

Active since October 27, 2015
301 N SIDNEY AVE, RUSSELLVILLE, AR 72801(479) 890-5494(479) 498-9665 Get Directions Write a Review

NPPES record last updated: December 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jenessa Jacobsen Recovery Assistant NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENESSA JACOBSEN RECOVERY ASSISTANT (NPI 1104298447) is an individual behavior technician in Russellville, Arkansas and active in the NPI registry since October 2015.

NPPES Registry Identity

NPI1104298447
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameJENESSA JACOBSENCredential: RECOVERY ASSISTANT
Location Address301 N SIDNEY AVERussellville, AR 72801-4383
Mailing Address301 N Sidney AveRussellville, AR 72801-4383 · (479) 890-5494 · Fax (479) 498-9665
Fax(479) 498-9665
Sole ProprietorNo
Enumeration DateOctober 27, 2015
Last NPPES UpdateDecember 28, 2023
NPPES CertifiedDecember 28, 2023
NPI 1104298447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition
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.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
301 N SIDNEY AVE, Russellville, AR 72801

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
301 N SIDNEY AVE
RUSSELLVILLE, AR 72801
Behavior Technician
301 N SIDNEY AVE
RUSSELLVILLE, AR 72801
Behavior Technician
301 N SIDNEY AVE
RUSSELLVILLE, AR 72801
Behavior Technician
301 N SIDNEY AVE
RUSSELLVILLE, AR 72801
Behavior Technician
301 N SIDNEY AVE
RUSSELLVILLE, AR 72801
Behavior Technician
301 N SIDNEY AVE
RUSSELLVILLE, AR 72801
Behavior Technician
301 N SIDNEY AVE
RUSSELLVILLE, AR 72801
Physical Therapist
301 N SIDNEY AVE
RUSSELLVILLE, AR 72801

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jenessa Jacobsen's NPI number?

The NPI number for Jenessa Jacobsen is 1104298447. It was assigned to this individual provider in the NPPES registry on October 27, 2015.

Where is Jenessa Jacobsen located?

Jenessa Jacobsen practices at 301 N Sidney Ave, Russellville, AR 72801. The listed phone number is (479) 890-5494.

What is Jenessa Jacobsen's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Jenessa Jacobsen was last updated on December 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.