Individual provider Active NPI

Jessica C Jones, BCBA

  • Behavior Analyst
  • Saint Peters, MO
National Provider Identifier
1265096481
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
2018041310 Issued in MO
Practice address
7 Castlewood CT
Saint Peters, MO 63376-2408
Phone
(636) 252-4612
Fax
(636) 277-1345
NPI assigned
Apr 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 2018041310 MO Primary

Addresses

Primary practice location

7 Castlewood CT
Saint Peters, MO 63376-2408

Mailing address

2414 Black Pine CT
Florissant, MO 63031-2043
Phone (314) 570-2098

Other identifiers 3

IdentifierTypeStateIssuer
201804310OtherMOBEHAVIOR ANALYST ADVISORY BOARD
136944511OtherINTERNATIONAL BEHAVIOR ANALYST ORGANIZATION
1-19-36962OtherBEHAVIOR ANALYST CERTIFICATION BOARD

Other names 1

  • Miss Jessica Chanelle Williams Former name

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

State licenses

LicenseStateTypeSpecialty
2018041310MOMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1265096481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2414 BLACK PINE CT",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630312043",
            "telephone_number": "314-570-2098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CASTLEWOOD CT",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633762408",
            "telephone_number": "636-252-4612",
            "fax_number": "636-277-1345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "JESSICA",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-23",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MO",
            "license": "2018041310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYST ADVISORY BOARD",
            "identifier": "201804310",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNATIONAL BEHAVIOR ANALYST ORGANIZATION",
            "identifier": "136944511",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD",
            "identifier": "1-19-36962",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "WILLIAMS",
            "middle_name": "CHANELLE",
            "prefix": "MISS",
            "credential": "BCBA, LBA, IBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Peters, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; 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.