Active NPI
Jessica Zunker, BCABA
- Assistant Behavior Analyst
- Roebuck, SC
National Provider Identifier
1558040907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- License
- 0-23-14606
- Practice address
- 301 Railroad St
Roebuck, SC 29376-3122 - Phone
- (864) 336-3790
- NPI assigned
- Jul 13, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | 0-23-14606 | SC | Primary |
Addresses
Primary practice location
301 Railroad St
Roebuck, SC 29376-3122
Mailing address
3620 Pelham Rd
Greenville, SC 29615-5044
Phone (864) 336-3790
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689206400000",
"number": "1558040907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3620 PELHAM RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296155044",
"telephone_number": "864-336-3790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 RAILROAD ST",
"city": "ROEBUCK",
"state": "SC",
"postal_code": "293763122",
"telephone_number": "864-336-3790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUNKER",
"first_name": "JESSICA",
"credential": "BCABA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-13",
"last_updated": "2023-07-13",
"certification_date": "2023-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "SC",
"license": "0-23-14606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roebuck, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.