Active NPI
Jacey Hanna, BCBA
- Behavior Analyst
- Smyrna, TN
National Provider Identifier
1003302860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 883 Seven Oaks Blvd Ste 990
Smyrna, TN 37167-6862 - Phone
- (629) 216-2007
- Fax
- (615) 413-5018
- NPI assigned
- Jul 5, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 105823 | IA | |
| Behavior Analyst | 103K00000X | TN | Primary |
Addresses
Primary practice location
883 Seven Oaks Blvd Ste 990
Smyrna, TN 37167-6862
Mailing address
7500 San Felipe St Ste 990
Houston, TX 77063-1708
Phone (281) 826-3382
Other practice location 1
20 N 14th St
Denison, IA 51442-2026
Phone (712) 513-0057
Other practice location 2
1299 Farnam St Ste 300
Omaha, NE 68102-1857
Phone (712) 899-0407
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105823 | IA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid Step Services | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adolescent and Children Mental Health Clinic/Center
- Sioux City, IA
- NPI 1821349135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736380800000",
"number": "1003302860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7500 SAN FELIPE ST STE 990",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770631708",
"telephone_number": "281-826-3382",
"fax_number": "425-491-7683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "883 SEVEN OAKS BLVD STE 990",
"city": "SMYRNA",
"state": "TN",
"postal_code": "371676862",
"telephone_number": "629-216-2007",
"fax_number": "615-413-5018"
}
],
"practiceLocations": [
{
"address_1": "20 N 14th St",
"address_purpose": "LOCATION",
"city": "Denison",
"state": "IA",
"postal_code": "514422026",
"country_code": "US",
"telephone_number": "712-513-0057",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1299 Farnam St Ste 300",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681021857",
"country_code": "US",
"telephone_number": "712-899-0407",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANNA",
"first_name": "JACEY",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-05",
"last_updated": "2025-01-09",
"certification_date": "2025-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IA",
"license": "105823",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smyrna, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.