Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

JACK BWEWUSA
NPI 1467373613
Assistant Behavior Analyst in Gaithersburg, MD

Active since July 23, 2026
509 QUINCE ORCHARD RD STE 205, GAITHERSBURG, MD 20878(855) 832-6727 Get Directions Write a Review

NPPES record added: July 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jack Bwewusa NPPES

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

JACK BWEWUSA (NPI 1467373613) is an individual assistant behavior analyst provider in Gaithersburg, Maryland, licensed in Maryland (106E00000X) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1467373613
Entity TypeIndividual
Primary Taxonomy106E00000X
Provider Legal NameJACK BWEWUSA
Location Address509 QUINCE ORCHARD RD STE 205Gaithersburg, MD 20878-1435
Mailing Address7108 S Kanner HwyStuart, FL 34997-7462 · (772) 349-6317
Sole ProprietorYes
Enumeration DateJuly 23, 2026
NPPES CertifiedJuly 23, 2026
NPI 1467373613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssistant Behavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code106E00000X
License Licensed in MD · 106E00000X
Definition

An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans.

509 QUINCE ORCHARD RD STE 205, Gaithersburg, MD 20878

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
509 QUINCE ORCHARD RD STE 205
GAITHERSBURG, MD 20878
Behavior Technician
509 QUINCE ORCHARD RD STE 205
GAITHERSBURG, MD 20878
Behavior Technician
509 QUINCE ORCHARD RD STE 205
GAITHERSBURG, MD 20878
Behavior Technician
509 QUINCE ORCHARD RD STE 205
GAITHERSBURG, MD 20878
Behavior Technician
509 QUINCE ORCHARD RD STE 205
GAITHERSBURG, MD 20878
Behavior Technician
509 QUINCE ORCHARD RD STE 205
GAITHERSBURG, MD 20878
Behavior Technician
509 QUINCE ORCHARD RD STE 205
GAITHERSBURG, MD 20878
Behavior Technician
509 QUINCE ORCHARD RD STE 205
GAITHERSBURG, MD 20878

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 Jack Bwewusa's NPI number?

The NPI number for Jack Bwewusa is 1467373613. It was assigned to this individual provider in the NPPES registry on July 23, 2026.

Where is Jack Bwewusa located?

Jack Bwewusa practices at 509 Quince Orchard Rd Ste 205, Gaithersburg, MD 20878. The listed phone number is (855) 832-6727.

What is Jack Bwewusa's specialty?

The primary specialty registered for this NPI is Assistant Behavior Analyst with taxonomy code 106E00000X.

When was this NPI record last updated?

The NPPES record for Jack Bwewusa was last updated on July 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.