NPIMap

Individual provider Active NPI

Jessica Danielle Aikens, BCBA

  • Behavior Analyst
  • Laramie, WY
National Provider Identifier
1124546239
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
1050 N 3Rd St Ste I
Laramie, WY 82072-2543
Phone
(307) 212-3284
NPI assigned
Sep 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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 1-18-31348 CO
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

1050 N 3Rd St Ste I
Laramie, WY 82072-2543

Mailing address

P.O Box 20310
PNB 55984
Cheyenne, WY 82003-7007
Phone (307) 212-3284

Other practice location 1

945 Pendell Blvd
Mills, WY 82644
Phone (605) 271-2690

Other practice location 2

1704 Westland Rd
Cheyenne, WY 82001
Phone (605) 271-2690

Other identifiers 1

IdentifierTypeStateIssuer
1124546239MedicaidCO

Other names 1

  • Jessica Danielle Aikens Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jessicaaikens@pkbehavior.com

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Hole Behavioral Services, LLC CurrentSince Oct 9, 2022 Accepting new patients
Behavior Care Specialists, Inc Behavior Analyst Past Accepting new patients

Locations

1050 N 3rd St
Ste I
Laramie, WY 82072

Organizations & group practices 2

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": "1504828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1124546239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O BOX 20310",
            "address_2": "PNB 55984",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820037007",
            "telephone_number": "307-212-3284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 N 3RD ST STE I",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820722543",
            "telephone_number": "307-212-3284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "945 Pendell Blvd",
            "address_purpose": "LOCATION",
            "city": "Mills",
            "state": "WY",
            "postal_code": "82644",
            "country_code": "US",
            "telephone_number": "605-271-2690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1704 Westland Rd",
            "address_purpose": "LOCATION",
            "city": "Cheyenne",
            "state": "WY",
            "postal_code": "82001",
            "country_code": "US",
            "telephone_number": "605-271-2690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AIKENS",
        "first_name": "JESSICA",
        "middle_name": "DANIELLE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-08",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "1-18-31348",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124546239",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessicaaikens@pkbehavior.com",
            "affiliation": "N",
            "address_1": "1050 N 3rd St Ste I",
            "city": "Laramie",
            "state": "WY",
            "country_code": "US",
            "postal_code": "820722543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "AIKENS",
            "middle_name": "DANIELLE",
            "credential": "RBT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Laramie, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.