Active NPI
Jessikah Shirley
- Assistant Behavior Analyst
- Nolanville, TX
National Provider Identifier
1477273761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- License
- 7710
- Practice address
- 1901 Wyman St
Nolanville, TX 76559-4791 - Phone
- (254) 408-0822
- NPI assigned
- Aug 29, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Assistant Behavior Analyst | 106E00000X | 7710 | TX | Primary |
Addresses
Primary practice location
1901 Wyman St
Nolanville, TX 76559-4791
Mailing address
1901 Wyman St
Nolanville, TX 76559-4791
Other names 1
- Jessikah Shirley
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7710 | TX | MD | Assistant Behavior Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736121600000",
"number": "1477273761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 WYMAN ST",
"city": "NOLANVILLE",
"state": "TX",
"postal_code": "765594791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 WYMAN ST",
"city": "NOLANVILLE",
"state": "TX",
"postal_code": "765594791",
"telephone_number": "254-408-0822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIRLEY",
"first_name": "JESSIKAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-29",
"last_updated": "2025-01-06",
"certification_date": "2025-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "TX",
"license": "7710",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSIKAH",
"last_name": "SHIRLEY",
"credential": "BCABA",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Nolanville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.