Individual provider Active NPI

Jessica Zirkle

  • Behavior Analyst
  • Beltsville, MD
National Provider Identifier
1174121602
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-25-83037 Issued in MD
Practice address
12240 Indian Creek CT
Beltsville, MD 20705-1242
Phone
(201) 979-1336
NPI assigned
Oct 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-25-83037 MD Primary

Addresses

Primary practice location

12240 Indian Creek CT
Beltsville, MD 20705-1242

Mailing address

175 Belgrove Dr
Kearny, NJ 07032-1507
Phone (201) 979-1336

Other practice location 1

11921 Bournefield Way Ste A
Silver Spring, MD 20904-7815
Phone (888) 726-4774

Other practice location 2

9250 Gaither Rd
Gaithersburg, MD 20877-1420
Phone (301) 337-8811

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

NPI Registry JSON

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

{
    "created_epoch": "1602806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1174121602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 BELGROVE DR",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070321507",
            "telephone_number": "201-979-1336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12240 INDIAN CREEK CT",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207051242",
            "telephone_number": "201-979-1336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11921 Bournefield Way Ste A",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209047815",
            "country_code": "US",
            "telephone_number": "888-726-4774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9250 Gaither Rd",
            "address_purpose": "LOCATION",
            "city": "Gaithersburg",
            "state": "MD",
            "postal_code": "208771420",
            "country_code": "US",
            "telephone_number": "301-337-8811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIRKLE",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-16",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MD",
            "license": "1-25-83037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beltsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; 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.