JESSICA ELAINE WASHINGTON NPI 1811517915

Behavior Analyst in Tyrone, GA

NPI 1811517915 Individual Female Behavior Analyst

About JESSICA WASHINGTON

Jessica Washington is a provider established in Tyrone, Georgia and her medical specialization is behavior analyst. The NPI number of Jessica Washington is 1811517915 and was assigned on April 2020. The practitioner's primary taxonomy code is 103K00000X with license number 1-21-53168 (GA). The provider is registered as an individual and her NPI record was last updated September 2021.

Jessica Washington is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1811517915

Provider Name JESSICA ELAINE WASHINGTON
Provider Location Address1135 SENOIA RD TYRONE, GA 30290
Provider Mailing Address1135 SENOIA RD TYRONE, GA 30290
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date04-20-2020
Last Update Date09-09-2021


Primary Taxonomy

Taxonomy Code103K00000X
ClassificationBehavior Analyst
TypeBehavioral Health & Social Service Providers
License No.1-21-53168
License StateGA
Taxonomy DescriptionA 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.

Business Address

JESSICA ELAINE WASHINGTON
1135 SENOIA RD
TYRONE, GA
ZIP 30290
Phone: (770) 626-3044

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Mailing Address

JESSICA ELAINE WASHINGTON
1135 SENOIA RD
TYRONE, GA
ZIP 30290
Phone: (770) 626-3044



Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst1-21-53368GANo

Taxonomy Description: 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.

2106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianRBT-19-85072GANo

Taxonomy Description: 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.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
003218736AMEDICAID (05)GA

Other Providers at the same location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1134759608SOUTHSIDE ABA LLC
Organization
Behavior Analyst1135 SENOIA RD
TYRONE, GA 30290
(770) 626-3044
1417576992 TIFFANY MICHELE TRAUTNER
Individual
Behavior Technician1135 SENOIA RD
TYRONE, GA 30290
(770) 626-3044
1043830136 KERSTIN ELIZABETH POWELL
Individual
Behavior Technician1135 SENOIA RD
TYRONE, GA 30290
(770) 626-3044
1053931154 VIRGINA PONTON SACK MS
Individual
Behavior Analyst1135 SENOIA RD
TYRONE, GA 30290
(770) 626-3044
1104446202 MELANIE STREET HARPER
Individual
Behavior Analyst1135 SENOIA RD
TYRONE, GA 30290
(770) 626-0444
1558951848 ROBIN CELESTE BOULLION
Individual
Behavior Technician1135 SENOIA RD
TYRONE, GA 30290
(770) 626-3044
1184256133MS. DARLA JUNE PFLIGER BCBA
Individual
Behavior Analyst1135 SENOIA RD
TYRONE, GA 30290
(770) 626-3044
1578183570 HILARY ANN LEAHY
Individual
Behavior Analyst1135 SENOIA RD
TYRONE, GA 30290
(770) 626-3044

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.