Jessica Bilodeau

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-23-70358 Issued in WA

Practice address

9115 SW Oleson Rd Ste 100
Portland, OR 97223-6876

Phone

(510) 268-8120

NPI assigned

Jul 22, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1073166732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1572",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986327946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9115 SW OLESON RD STE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972236876",
            "telephone_number": "510-268-8120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 Douglas St Apt 3",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "WA",
            "postal_code": "986322126",
            "country_code": "US",
            "telephone_number": "360-747-4019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BILODEAU",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-22",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "1-23-70358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendelin Jon Billinger, PA-C
• Charlotte Billings
• Curtis J Billings, PH.D.
• Stephanie Michelle Billmyre
• Christopher J Bilodeau, BA PSYCHOLOGY
• Nicole Suzanne Bilodeau, OT
• David E Bilstrom, MD
• Evan Bilstrom, MD
• Karrie Kay Bilyeu, OA
• Michael Donald Reed Bilyeu, LMT

• Behavior Analyst in Portland, OR
• Providers in Portland, OR by specialty
• Behavior Analyst in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.