JENNIFER SUE DODGE BACB499833
NPI 1659941086
Behavior Technician in Mazama, WA

Active since June 28, 2021
42 LOST RIVER RD, MAZAMA, WA 98833(404) 247-4514 Get Directions Write a Review

NPPES record last updated: August 23, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 23, 2021, Jun 28, 2021 (2 updates tracked since 2021).

About Jennifer Sue Dodge Bacb499833 NPPES

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

JENNIFER SUE DODGE BACB499833 (NPI 1659941086) is an individual behavior technician in Mazama, Washington, licensed in Washington (RBT-21-178990) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1659941086
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameJENNIFER SUE DODGECredential: BACB499833
Location Address42 LOST RIVER RDMazama, WA 98833-9707
Mailing AddressPo Box 154Brewster, WA 98812-0154
Sole ProprietorNo
Enumeration DateJune 28, 2021
Last NPPES UpdateAugust 23, 20212 updates tracked since enumeration
NPPES CertifiedAugust 5, 2021
NPI 1659941086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
License Licensed in WA · RBT-21-178990
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 ListedBehavior AnalystTaxonomy 103K00000X · License BACB499833 (WA)
42 LOST RIVER RD, Mazama, WA 98833

Other Providers at the Same Location NPPES 2

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

Specialist
42 LOST RIVER RD
MAZAMA, WA 98833
Specialist
42 LOST RIVER RD
MAZAMA, WA 98833

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 Jennifer Dodge's NPI number?

The NPI number for Jennifer Dodge is 1659941086. It was assigned to this individual provider in the NPPES registry on June 28, 2021.

Where is Jennifer Dodge located?

Jennifer Dodge practices at 42 Lost River Rd, Mazama, WA 98833. The listed phone number is (404) 247-4514.

What is Jennifer Dodge'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 Jennifer Dodge was last updated on August 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.