STEPHANIE MARIE HUMIWAT JESSUP
NPI 1790496784
Behavior Technician in Portland, OR

Active since December 09, 2022
415 SE 108TH AVE, PORTLAND, OR 97216(916) 753-9211 Get Directions Write a Review

NPPES record last updated: December 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stephanie Marie Humiwat Jessup NPPES

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

STEPHANIE MARIE HUMIWAT JESSUP (NPI 1790496784) is an individual behavior technician in Portland, Oregon, licensed in Oregon (ABA-IN-10227793) and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1790496784
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameSTEPHANIE MARIE HUMIWAT JESSUP
Location Address415 SE 108TH AVEPortland, OR 97216-3127
Mailing Address415 Se 108th AvePortland, OR 97216-3127 · (916) 753-9211
Sole ProprietorNo
Enumeration DateDecember 9, 2022
NPPES CertifiedDecember 9, 2022
NPI 1790496784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
License Licensed in OR · ABA-IN-10227793
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.
415 SE 108TH AVE, Portland, OR 97216

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 Stephanie Marie Jessup's NPI number?

The NPI number for Stephanie Marie Jessup is 1790496784. It was assigned to this individual provider in the NPPES registry on December 9, 2022.

Where is Stephanie Marie Jessup located?

Stephanie Marie Jessup practices at 415 SE 108th Ave, Portland, OR 97216. The listed phone number is (916) 753-9211.

What is Stephanie Marie Jessup'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 Stephanie Marie Jessup was last updated on December 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.