Jessica Ross, M.A, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-13-13448 Issued in IN

Practice address

10313 Aboite Center Rd
Fort Wayne, IN 46804-5435

Phone

(260) 459-6040

Fax

(260) 459-6010

NPI assigned

Dec 17, 2014

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

Credentials

Master of Arts

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.

• Children'S Autism Center, Inc

  • Developmental Disabilities Clinic/Center
  • Fort Wayne, IN
  • NPI 1215105663
  NPD (past)

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

{
    "created_epoch": "1418774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418774400000",
    "number": "1124426523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10313 ABOITE CENTER RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468045435",
            "telephone_number": "260-459-6040",
            "fax_number": "260-459-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10313 ABOITE CENTER RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468045435",
            "telephone_number": "260-459-6040",
            "fax_number": "260-459-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "JESSICA",
        "name_prefix": "Mrs.",
        "credential": "M.A, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-17",
        "last_updated": "2014-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IN",
            "license": "1-13-13448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan C Ross-Espinosa
• Ali Cassandra Ross, NP-C
• Andrew Michael Ross, DDS
• Conor Ross, MSW, LSW
• Jean D. Ross, NP
• Jessica Lynn Ross, FNP-C
• Maisie Ross
• Stacy Ross, RN
• Stephen Gerard Ross, PSYD
• Steven Ross, MD

• Behavior Analyst in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Behavior Analyst in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; 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.