Jessica Ann Irish, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-08-4391 Issued in MI

Practice address

4201 Varsity Dr
Suite C
Ann Arbor, MI 48108-5005

Phone

(734) 926-0740

Fax

(734) 369-8851

NPI assigned

Dec 8, 2009

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

Other names 1

• Mrs. Jessica Ann Rogers Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Creating Brighter Futures, Inc

  • Behavior Analyst
  • Ann Arbor, MI
  • NPI 1881939346
  NPD (past) Authorized official
• Creating Brighter Futures

  • Behavior Analyst
  • Ann Arbor, MI
  • NPI 1750999249
  NPD (past)

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

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1407185291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "853 VALLEY CIRCLE DR",
            "address_2": "APT 101",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481761451",
            "telephone_number": "269-870-5665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 VARSITY DR",
            "address_2": "SUITE C",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481085005",
            "telephone_number": "734-926-0740",
            "fax_number": "734-369-8851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRISH",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-08",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "1-08-4391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "ROGERS",
            "middle_name": "ANN",
            "prefix": "MRS.",
            "credential": "BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nirwah Iqbal
• Rashid Iqbal, DPT
• Zaara Iqbal
• David N Irani, MD
• Mohammed A Irfan, MD
• Allyson Irons
• Amber K Irrer
• Caroline J Irving
• Lisa Ann Irwin, MD
• Madison Irwin, PHARMD

• Behavior Analyst in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Behavior Analyst in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.