Active NPI
Joshua Jessel
- Behavior Analyst
- Fort Worth, TX
National Provider Identifier
1205219961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 1300 W Lancaster Ave
Fort Worth, TX 76102-3410 - Phone
- (817) 336-8611
- Fax
- (817) 390-2901
- NPI assigned
- Jun 30, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
1300 W Lancaster Ave
Fort Worth, TX 76102-3410
Mailing address
1300 W Lancaster Ave
Fort Worth, TX 76102-3410
Phone (817) 336-8611
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-13-13176 | Other | TX | BOARD CERTIFIED BEHAVIOR ANALYST |
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": "1435622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435622400000",
"number": "1205219961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 W LANCASTER AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761023410",
"telephone_number": "817-336-8611",
"fax_number": "817-390-2901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 W LANCASTER AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761023410",
"telephone_number": "817-336-8611",
"fax_number": "817-390-2901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JESSEL",
"first_name": "JOSHUA",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-30",
"last_updated": "2015-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD CERTIFIED BEHAVIOR ANALYST",
"identifier": "1-13-13176",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.