Mary Jessica White, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-25-502574 Issued in KY

Practice address

109 Creekwood Ave Apt 203
Bowling Green, KY 42101-3939

Phone

(615) 804-3570

NPI assigned

Mar 3, 2026

Last updated

Mar 3, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1772496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1639024607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 CREEKWOOD AVE APT 203",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421013939",
            "telephone_number": "615-804-3570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 CREEKWOOD AVE APT 203",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421013939",
            "telephone_number": "615-804-3570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "MARY",
        "middle_name": "JESSICA",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-03",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "KY",
            "license": "RBT-25-502574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly Estelle White, MD
• Brandi Alison White, APRN
• Jeffrey Thomas White, M.D.
• Kelly Quinlan White, DPT
• Macy Ann White, OTR/L
• Mason Decker White, OTR/L
• Philip Bruce White Jr., DC
• Shawn White, LPCC
• Sarah L Whitledge, LCSW
• Amy Andrews Whitler, APRN

• Behavior Technician in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Behavior Technician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; 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.