Individual provider Active NPI

Jessica Bassett

  • Behavior Technician
  • Media, PA
National Provider Identifier
1063160299
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-21-166942 Issued in PA
Practice address
606 E Baltimore Pike FL 2
Media, PA 19063-1751
Phone
(610) 864-7376
Fax
(877) 599-3340
NPI assigned
Mar 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-21-166942 PA Primary

Addresses

Primary practice location

606 E Baltimore Pike FL 2
Media, PA 19063-1751

Mailing address

PO Box 631280
Cincinnati, OH 45263-1280
Phone (610) 864-7376

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

LicenseStateTypeSpecialty
RBT-21-166942PAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Aba2Day Behavioral Services, LLC CurrentSince Aug 7, 2022 Accepting new patients
Aba2Day Behavior Services, LLC CurrentSince Aug 1, 2022 Accepting new patients

Locations

606 E Baltimore Pike
Fl 2
Media, PA 19063
Phone (610) 864-7376

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1063160299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631280",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452631280",
            "telephone_number": "610-864-7376",
            "fax_number": "877-599-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 E BALTIMORE PIKE FL 2",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190631751",
            "telephone_number": "610-864-7376",
            "fax_number": "877-599-3340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASSETT",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-16",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "PA",
            "license": "RBT-21-166942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.