Jessica Fontaine, M.S., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-08-4204 Issued in AL

Practice address

1317 Jamestown Rd
Suite 102-B
Williamsburg, VA 23185-3364

Phone

(205) 239-4448

NPI assigned

Oct 5, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

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.

• Tidewater Behavior Project

  • Behavior Analyst
  • Newport News, VA
  • NPI 1922679927
  NPD Authorized official

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

{
    "created_epoch": "1223164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318896000000",
    "number": "1407007792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 BARLOW RD",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231882227",
            "telephone_number": "205-239-4448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 JAMESTOWN RD",
            "address_2": "SUITE 102-B",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231853364",
            "telephone_number": "205-239-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTAINE",
        "first_name": "JESSICA",
        "credential": "M.S., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-05",
        "last_updated": "2011-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AL",
            "license": "1-08-4204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Eve Fleming, ARNP
• Fli,PLC
• Earl Wayne Flora, PSYD
• Patricia A Flores, DDS
• Laura Marie Fluke, D.O.
• Robert E Foos Jr., MD
• Foot and Ankle Management of Virginia
• Ronald Forbus
• Karen R Ford
• Mesha Ford

• Behavior Analyst in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2011; 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.