Jessica Reed

Individual provider Active NPI Behavior Analyst · Woodbridge, VA

NPI 1194223909 · NPPES record last updated Nov 20, 2024

Key facts

NPI
1194223909
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
5126 Cannon Bluff Dr
Woodbridge, VA 22192-5741
Phone
(203) 641-4127
NPI assigned
Jan 26, 2018
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Align ABA, PLLC Behavior Analyst Current
since Mar 1, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Yes

Addresses

Primary practice location

5126 Cannon Bluff Dr
Woodbridge, VA 22192-5741

Mailing address

5126 Cannon Bluff Dr
Woodbridge, VA 22192-5741
Phone (203) 641-4127

Other names

  • Jessica Litevich Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 20, 2024.

{
    "created_epoch": "1516924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1194223909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5126 CANNON BLUFF DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221925741",
            "telephone_number": "203-641-4127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5126 CANNON BLUFF DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221925741",
            "telephone_number": "203-641-4127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-26",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "LITEVICH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Woodbridge, VA

All providers in Woodbridge, VA · Behavior Analyst in Virginia

Sources for this page

Verify at the official NPI Registry.