Jessica Lynn Gravel, M.ED, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

103K00000X Issued in TX

Practice address

6222 W Ih 10 Ste 104
San Antonio, TX 78201-2013

Phone

(210) 447-0039

NPI assigned

Sep 9, 2014

Last updated

Mar 29, 2022By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• First Leap LLC

  dba First Leap

  • Behavior Analyst
  • Austin, TX
  • NPI 1659670842
  NPD (past)

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1174924252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6222 W IH 10 STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782012013",
            "telephone_number": "210-447-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6222 W IH 10 STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782012013",
            "telephone_number": "210-447-0039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVEL",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "M.ED, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-09",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "103K00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tori@empowerbh.com",
            "affiliation": "N",
            "address_1": "6222 W Ih 10 Ste 104",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782012013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Annaliese Grassia
• Alexis Julianne Grasso
• Gratifying & Loving Care LLC
• Tina P Grau, D.C.
• Danette Oracoy Gravador, RN, BC
• Martha Graves, A.U.D.
• Paige Graves
• Rolf David Graves, LCSW
• Tiffany L Graves
• Britney Gravett

• Behavior Analyst in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.