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
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Align ABA, PLLC | Behavior Analyst | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
NPI Registry JSON
{
"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"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.