Active NPI
Jessica Mitchell Fricke, BCBA
- Behavior Analyst
- Atlanta, GA
National Provider Identifier
1053649210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 1215 Hightower Trail B120
Intergrated Behavioral Solutions, Inc.
Atlanta, GA 30350 - Phone
- (866) 750-5554
- Fax
- (866) 974-5999
- NPI assigned
- Nov 30, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
1215 Hightower Trail B120
Intergrated Behavioral Solutions, Inc.
Atlanta, GA 30350
Mailing address
1215 Hightower Trail B120
Intergrated Behavioral Solutions, Inc.
Atlanta, GA 30350
Phone (866) 750-5554
Other practice location 1
53 Perimeter Center E.
Suite 350
Atlanta, GA 30346
Phone (866) 750-5554
Other practice location 2
53 Perimeter Center E.
Suite 350
Atlanta, GA 30346
Phone (866) 750-5554
Other names 1
- Miss Jessica Faye Mitchell
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": "1259539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1053649210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 HIGHTOWER TRAIL B120",
"address_2": "INTERGRATED BEHAVIORAL SOLUTIONS, INC.",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30350",
"telephone_number": "866-750-5554",
"fax_number": "866-974-5999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 HIGHTOWER TRAIL B120",
"address_2": "INTERGRATED BEHAVIORAL SOLUTIONS, INC.",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30350",
"telephone_number": "866-750-5554",
"fax_number": "866-974-5999"
}
],
"practiceLocations": [
{
"address_1": "53 Perimeter Center E.",
"address_2": "Suite 350",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "30346",
"country_code": "US",
"telephone_number": "866-750-5554",
"fax_number": "602-225-2485",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "53 Perimeter Center E.",
"address_2": "Suite 350",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "30346",
"country_code": "US",
"telephone_number": "866-750-5554",
"fax_number": "602-225-2485",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRICKE",
"first_name": "JESSICA",
"middle_name": "MITCHELL",
"name_prefix": "Mrs.",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-30",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "MITCHELL",
"middle_name": "FAYE",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.