Jessica Marie Roan, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

1-08-4001 Issued in KS

Practice address

1495 NE 60 Ave
Hoisington, KS 67544-9228

Phone

(785) 817-7016

NPI assigned

Jan 12, 2023

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.

• Behavior Solutions, LLC

  • Behavior Analyst
  • Russell, KS
  • NPI 1336785922
  NPD (past)

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

{
    "created_epoch": "1673481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1134833197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1495 NE 60 AVE",
            "city": "HOISINGTON",
            "state": "KS",
            "postal_code": "675449228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 NE 60 AVE",
            "city": "HOISINGTON",
            "state": "KS",
            "postal_code": "675449228",
            "telephone_number": "785-817-7016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROAN",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-12",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "KS",
            "license": "1-08-4001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marla Jo Mooney, PHARMD
• Stacy Allyn Moore
• Kimberly Ann Pray, PA-C
• R M Sheppard Inc
• Harold Keith Ritter, DDS
• Tyler L Schremmer, O.D.
• Robert Michael Sheppard, CRNA
• Deborah Lee Snyder, APRN
• The Clara Barton Hospital Association Inc Hoisington Kansas
• The Clara Barton Hospital Association Inc Hoisington Kansas

• Behavior Technician in Hoisington, KS
• Providers in Hoisington, KS by specialty
• Behavior Technician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; 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.