Jaclyn A Crissinger, M.S., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1095118 Issued in NU

Practice address

2132 Case Pkwy
Twinsburg, OH 44087-4300

Phone

(330) 963-8600

NPI assigned

Jul 9, 2013

Last updated

Jul 9, 2013By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kidslink Connect, LLC

  • Behavior Analyst
  • Streetsboro, OH
  • NPI 1114413093
  NPD (past)

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

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373328000000",
    "number": "1477994259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2132 CASE PKWY",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440874300",
            "telephone_number": "330-963-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2132 CASE PKWY",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440874300",
            "telephone_number": "330-963-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISSINGER",
        "first_name": "JACLYN",
        "middle_name": "A",
        "credential": "M.S., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-09",
        "last_updated": "2013-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": "1095118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Doris Diprimio Corey, DO
• Nalini Arora Corpora, O.D.
• Annette Cosentino-Bressi, DO
• Counseling and Wellness Group, LLC
• Covenant Home Care, LLC
• Diane Marie Crockett, PT
• Christina Lynn Cross
• Lisa Cuffari
• Madison Culp
• Robert Cundiff, PT

• Behavior Analyst in Twinsburg, OH
• Providers in Twinsburg, OH by specialty
• Behavior Analyst in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; 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.