NPI 1396305595 · live from the CMS NPI Registry
Jessica Ann Adams, MS, BCBA
Behavior Analyst in Coon Rapids, MN. National Provider Identifier 1396305595, active.
NPI record
| NPI | 1396305595 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 9120 Springbrook Dr Nw, Coon Rapids, MN 55433 |
| Practice phone | 612-331-9413 |
| Mailing address | 3333 University Ave Se, Minneapolis, MN 55414 |
| Enumerated | June 19, 2019 |
| Last updated | February 18, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 1-18-29759 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.