Active NPI
Jessica McDonald, BCBA
- Behavior Analyst
- Hickory, NC
National Provider Identifier
1003575887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 2717
- Practice address
- 1511 29TH Avenue Dr NE
Hickory, NC 28601-7324 - Phone
- (979) 324-3912
- NPI assigned
- Dec 9, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | 2717 | NC | Primary |
Addresses
Primary practice location
1511 29TH Avenue Dr NE
Hickory, NC 28601-7324
Mailing address
1511 29TH Avenue Dr NE
Hickory, NC 28601-7324
Phone (979) 324-3912
Other practice location 1
1401 E 7th St
Charlotte, NC 28204-6300
Phone (801) 935-4171
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784073600000",
"number": "1003575887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1511 29TH AVENUE DR NE",
"city": "HICKORY",
"state": "NC",
"postal_code": "286017324",
"telephone_number": "979-324-3912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1511 29TH AVENUE DR NE",
"city": "HICKORY",
"state": "NC",
"postal_code": "286017324",
"telephone_number": "979-324-3912"
}
],
"practiceLocations": [
{
"address_1": "1401 E 7th St",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282046300",
"country_code": "US",
"telephone_number": "801-935-4171",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCDONALD",
"first_name": "JESSICA",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-09",
"last_updated": "2026-07-15",
"certification_date": "2026-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NC",
"license": "2717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hickory, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.