Audra Jensen, M.ED., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-07-3826 Issued in NU

Practice address

9901 NE 7TH Ave
Suite C-116
Vancouver, WA 98685-4523

Phone

(360) 571-2432

Fax

(360) 836-8131

NPI assigned

Apr 17, 2008

Last updated

May 12, 2016By 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 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463011200000",
    "number": "1588838866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21600 OXNARD ST",
            "address_2": "SUITE 1800",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913674976",
            "telephone_number": "818-345-2345",
            "fax_number": "818-449-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9901 NE 7TH AVE",
            "address_2": "SUITE C-116",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986854523",
            "telephone_number": "360-571-2432",
            "fax_number": "360-836-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "AUDRA",
        "credential": "M.ED., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-17",
        "last_updated": "2016-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": "1-07-3826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Staci Jeannette Jenkins, MA, LMHC
• Jennifer Lang Counseling PLCC
• Aaron Jenniges
• Andrew Jennings, M.D.
• Elizabeth Jennings
• Bliss Jensen, PHYSICIAN ASSISTANT
• Bradden Jensen, MD
• Brenda Lee Jensen, PTA
• Brett Terry Jensen, MD
• Dana Jensen, LMT

• Behavior Analyst in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; 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.