Jessica Renee Vanfleet

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1125 Opal CT
Hagerstown, MD 21740-5934

Phone

(301) 703-9923

NPI assigned

Aug 19, 2024

Sex

Female

Sole proprietor

Yes

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

Practice roles

Locations

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.

• Adaptive Teaching and Learning Autism Services

  • Behavior Analyst
  • Frederick, MD
  • NPI 1073101267
  NPD

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1407688385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10726 LIBERTY RD",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217012630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 OPAL CT",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405934",
            "telephone_number": "301-703-9923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANFLEET",
        "first_name": "JESSICA",
        "middle_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Valchev
• Mariah Valentine
• Jerry Van, PHARMD
• Yi Vance, NP
• Rhoda Abisola Vandyck, M.D.
• Jerilyn Joy Vanfossen, CRNP
• Edward Vanmetre, LCSW-C
• Curtis Vanover, LCSWC
• Tisha Varghese, MSN FNP-C
• Robert Varley, PT

• Behavior Technician in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Behavior Technician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.