Jessica Lynn Donnelly, PHD., BCBA-D, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BEH-000041 Issued in AZ

Practice address

18521 E Queen Creek Rd Ste 105-627
Queen Creek, AZ 85142-5870

Phone

(480) 361-1025

Fax

(480) 814-7488

NPI assigned

Sep 25, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Positive ABA

  • Behavior Analyst
  • Queen Creek, AZ
  • NPI 1891175543
  NPD (past)
• Positiveaba

  • Behavior Analyst
  • Queen Creek, AZ
  • NPI 1003064171
  NPD (past)

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

{
    "created_epoch": "1253836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1174857056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9702 EAST COUNTRY PLACE",
            "city": "PALOMINAS",
            "state": "AZ",
            "postal_code": "85615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18521 E QUEEN CREEK RD STE 105-627",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851425870",
            "telephone_number": "480-361-1025",
            "fax_number": "480-814-7488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONNELLY",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PHD.,  BCBA-D, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-25",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AZ",
            "license": "BEH-000041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Kinnamon Dirkmaat, NMD
• Katy Dodt, FNP
• Mary Ann Doi, FP
• Eric Chapman Dollar, O.D.
• Amanda Donnell
• Jill Ann Dorenbush, MA, LPC
• Joshua Dorris, DMD
• Doug S Clouse MD PLC (Orthopedic and Sports Performance Institute)
• Douglas B Hunt PC
• Ducray Wellness, LLC

• Behavior Analyst in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• Behavior Analyst in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.