Jacqueline McBride

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-23-65846 Issued in IN

Practice address

4655 Rosebud LN
Newburgh, IN 47630-9366

Phone

(812) 213-8031

Fax

(317) 520-8200

NPI assigned

Dec 18, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Jacqueline Floyd Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Circle City ABA

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  • NPI 1235676990
  NPD (past)
• Commonwealth Autism Care

  • Behavior Analyst
  • Florence, KY
  • NPI 1215682356
  NPD (past)
• Growing Minds Learning Center, LLC

  • Behavior Analyst
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  • NPI 1275813222
  NPD (past)

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

{
    "created_epoch": "1608249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1629664115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 DEPAUW BLVD STE 3070",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462686135",
            "telephone_number": "855-324-0885",
            "fax_number": "317-520-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4655 ROSEBUD LN",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476309366",
            "telephone_number": "812-213-8031",
            "fax_number": "317-520-8200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "724 Barret Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "KY",
            "postal_code": "424204931",
            "country_code": "US",
            "telephone_number": "270-827-4652",
            "fax_number": "615-815-1946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCBRIDE",
        "first_name": "JACQUELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-18",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KY",
            "license": "286318",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KY",
            "license": "1-23-65846",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "KY",
            "license": "RBT-17-30043",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IN",
            "license": "1-23-65846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "FLOYD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amber Mattingly, RBT
• Emily J. Maurer, COTA
• Jenna Maxey
• Amy Nichole Mayer
• Morgan Maze
• Danisha Shavonne McCall, MD
• Mallory McCallister, BSN, RN
• Brittney McCarthy
• Erika N McCombs, PT
• Gregory S McCord, M.D.

• Behavior Analyst in Newburgh, IN
• Providers in Newburgh, IN by specialty
• Behavior Analyst in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.