Jessica Kennedy, BCBA, COBA
Individual provider Active NPI Behavior Analyst · Norwich, OH
NPI 1033036439 · NPPES record last updated Jul 6, 2026
Key facts
- NPI
- 1033036439
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-26-90025 (OH)
- Practice address
- 1590 Southern Rd
Norwich, OH 43767-9708 - Phone
- (740) 391-1697
- NPI assigned
- Jul 6, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst |
103K00000X | 1-26-90025 | OH | Yes |
Addresses
Primary practice location
1590 Southern Rd
Norwich, OH 43767-9708
Mailing address
1590 Southern Rd
Norwich, OH 43767-9708
Phone (740) 391-1697
Other providers in Norwich, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.