Individual provider Active NPI

Jessica Foster Juanico, M.A., BCBA, LBA-MO

  • Behavior Analyst
  • Overland Park, KS
National Provider Identifier
1306206453
Registry record updated Mar 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-14-17666 Issued in KS
Practice address
7725 W 87TH St
Overland Park, KS 66212-1905
Phone
(785) 218-9351
NPI assigned
Mar 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-14-17666 KS Primary
Behavior Analyst 103K00000X 2016004752 MO

Addresses

Primary practice location

7725 W 87TH St
Overland Park, KS 66212-1905

Mailing address

7725 W 87TH St
Overland Park, KS 66212-1905

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2016004752MOMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456876800000",
    "number": "1306206453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7725 W 87TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662121905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7725 W 87TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662121905",
            "telephone_number": "785-218-9351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUANICO",
        "first_name": "JESSICA",
        "middle_name": "FOSTER",
        "credential": "M.A., BCBA, LBA-MO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-02",
        "last_updated": "2016-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KS",
            "license": "1-14-17666",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MO",
            "license": "2016004752",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; 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.