Individual provider Active NPI

Jessica Zucal, MA, BCBA

  • Behavior Analyst
  • Lansing, MI
National Provider Identifier
1508392200
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-17-25776 Issued in MI
Practice address
4000 W Michigan Ave
Lansing, MI 48917-2856
Phone
(517) 258-0052
NPI assigned
May 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-17-25776 MI Primary

Addresses

Primary practice location

4000 W Michigan Ave
Lansing, MI 48917-2856

Mailing address

2805 S Industrial Hwy Ste 100
Ann Arbor, MI 48104-6791

Other practice location 1

6625 Daly Rd
West Bloomfield, MI 48322-3410
Phone (248) 737-3430

Other practice location 2

912 S Washington St
Owosso, MI 48867-4447
Phone (989) 217-8061

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
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Kaufman Children'S Center Behavior Analyst Past Accepting new patients
Kaufman Childrens Center for Speech Language Sensory Motor Soc Connect PastSince Jan 4, 2016 Accepting new patients
ABA Pathways, LLC Behavior Analyst PastSince May 25, 2025 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1508392200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 S INDUSTRIAL HWY STE 100",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481046791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 W MICHIGAN AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489172856",
            "telephone_number": "517-258-0052"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6625 Daly Rd",
            "address_purpose": "LOCATION",
            "city": "West Bloomfield",
            "state": "MI",
            "postal_code": "483223410",
            "country_code": "US",
            "telephone_number": "248-737-3430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "912 S Washington St",
            "address_purpose": "LOCATION",
            "city": "Owosso",
            "state": "MI",
            "postal_code": "488674447",
            "country_code": "US",
            "telephone_number": "989-217-8061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZUCAL",
        "first_name": "JESSICA",
        "credential": "MA, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-02",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "1-17-25776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

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

Verify at the official NPI Registry.