Jessica Reed, M.A., BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

3720 SW Bond Ave Unit 1816
Portland, OR 97239-4576

Phone

(503) 877-3996

NPI assigned

Mar 17, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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.

• Reed Behavior Support, LLC

  • Developmentally Disabled Services Day Training Agency
  • Portland, OR
  • NPI 1396190930
  NPD (past) Authorized official

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

{
    "created_epoch": "1300320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464220800000",
    "number": "1134428055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 SW BOND AVE UNIT 1816",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972394576",
            "telephone_number": "503-877-3996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 SW BOND AVE UNIT 1816",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972394576",
            "telephone_number": "503-877-3996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "JESSICA",
        "credential": "M.A., BCBA, LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-17",
        "last_updated": "2016-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134428055",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Delaney Reed
• Emily M Reed, LMT
• Emily Noelle Reed
• Heather Kim Reed, FNP
• Jennifer Carol Reed
• Jessica Sloan Reed, LMT
• Joan Ilene Reed, P.T.
• Juniper Reed
• Katherine Anne Reed, MSW
• Kelly Reed, PT

• Behavior Analyst in Portland, OR
• Providers in Portland, OR by specialty
• Behavior Analyst in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; 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.