Jessica Lee Rismiller, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-56613

Practice address

875 Crescent Way
Arcata, CA 95521-6741

Phone

(707) 498-5799

NPI assigned

Jan 14, 2022

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

Practice roles

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.

• Openmind Connections LLC

  • Behavior Analyst
  • Arcata, CA
  • NPI 1134903081
  NPD Authorized official
• Multiplicity Therapeutic Services

  • Community/Behavioral Health Agency
  • Arcata, CA
  • NPI 1124373691
  NPD (past)
• Starfish Hero

  • Community/Behavioral Health Agency
  • Arcata, CA
  • NPI 1457778557
  NPD (past)

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

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1104577733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1044",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955181044",
            "telephone_number": "707-498-5799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 CRESCENT WAY",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955216741",
            "telephone_number": "707-498-5799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISMILLER",
        "first_name": "JESSICA",
        "middle_name": "LEE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-14",
        "last_updated": "2022-01-14",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-21-56613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheridan Michelle Richardson, LAC
• Ezekiel Ridgley
• Mackenzie Ridone
• Susan Jane Riesel, WHPAC
• James Michael Riley, O D
• Kathryn Elaine Rivera, M.S., B.C.B.A.
• Nicolas Rizzo-Bueno
• Shelby Roberts
• Alexandria Robinson
• Joan Robinson, MD

• Behavior Analyst in Arcata, CA
• Providers in Arcata, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.