NPI 1114369154 · live from the CMS NPI Registry
Jessica Jon Beck
Behavior Analyst in Omaha, NE. National Provider Identifier 1114369154, active.
NPI record
| NPI | 1114369154 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 10820 Harney St, Omaha, NE 68154 |
| Practice phone | 402-204-8049 |
| Enumerated | July 18, 2013 |
| Last updated | August 16, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health | 101YM0800X | — |
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.