Individual provider Active NPI

Jessica Belokas, M.A., B.C.B.A., LBA

  • Behavior Analyst
  • Gilbert, AZ
National Provider Identifier
1073814935
Registry record updated Jan 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BA-48 Issued in AZ
Practice address
2903 E Silo Dr
Gilbert, AZ 85296-0584
Phone
(480) 385-8690
NPI assigned
Nov 9, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-10-7704 AZ
Behavior Analyst 103K00000X BA-48 AZ Primary

Addresses

Primary practice location

2903 E Silo Dr
Gilbert, AZ 85296-0584

Mailing address

2903 E Silo Dr
Gilbert, AZ 85296-0584
Phone (480) 385-8690

Other names 1

  • Jessica Lozano Former name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
BA-48AZMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Inclusive Consulting Services, LLC Behavior Analyst CurrentSince Jan 12, 2025 Accepting new patients

Organizations & group practices 1

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": "1289260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735948800000",
    "number": "1073814935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2903 E SILO DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852960584",
            "telephone_number": "480-385-8690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2903 E SILO DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852960584",
            "telephone_number": "480-385-8690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELOKAS",
        "first_name": "JESSICA",
        "credential": "M.A., B.C.B.A., LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-09",
        "last_updated": "2025-01-04",
        "certification_date": "2025-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AZ",
            "license": "1-10-7704",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AZ",
            "license": "BA-48",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "LOZANO",
            "credential": "M.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2025; 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.