Jessica Ellen Daubenspeck

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-19-103431 Issued in IN

Practice address

12244 E 116TH St
Fishers, IN 46037-9717

Phone

(317) 849-5437

NPI assigned

Aug 9, 2021

Last updated

Aug 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ataraxy Behavioral Support Services LLC

  • Behavior Analyst
  • Quincy, IN
  • NPI 1093533028
  NPD Authorized official
• ABA Programming Inc.

  • Behavior Analyst
  • Indianapolis, IN
  • NPI 1770706160
  NPD (past)

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

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1073287470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12244 E 116TH ST",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379717",
            "telephone_number": "317-849-5437",
            "fax_number": "317-842-5911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12244 E 116TH ST",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379717",
            "telephone_number": "317-849-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUBENSPECK",
        "first_name": "JESSICA",
        "middle_name": "ELLEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-09",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IN",
            "license": "RBT-19-103431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominique Daniels
• Themen S. Danielson Jr., M.D.
• Jo-an Danner, BEHAVIOR TECHNICIAN
• Lea T Darido, LMHC
• Darlene Parnell LCSW Counseling Inc
• Collin Patrick Daugherty
• James L. Daugherty, O.D.
• Alicia B. Daumeyer, DO
• Roxane Daves
• Kaylee David

• Behavior Technician in Fishers, IN
• Providers in Fishers, IN by specialty
• Behavior Technician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; 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.