Jessica Adelle Blackwell

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

LBA00127 Issued in RI

Practice address

24 Albion Rd Ste 320
Lincoln, RI 02865-3744

Phone

(855) 295-3276

Fax

(888) 588-2752

NPI assigned

Apr 21, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jessica Adelle Sivak 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.

• Bierman ABA Inc.

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  • Westfield, IN
  • NPI 1114285855

  Behavior Analyst

  NPD (past)
• Bierman ABA, Inc.

  • Developmental Disabilities Clinic/Center
  • Needham Heights, MA
  • NPI 1528500303
  NPD (past)

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

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1669826012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 S MAYFLOWER AVE STE 220",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910165239",
            "telephone_number": "818-241-6780",
            "fax_number": "888-588-2752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 ALBION RD STE 320",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028653744",
            "telephone_number": "855-295-3276",
            "fax_number": "888-588-2752"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1526 Atwood Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Johnston",
            "state": "RI",
            "postal_code": "029193289",
            "country_code": "US",
            "telephone_number": "855-295-3276",
            "fax_number": "888-588-2752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACKWELL",
        "first_name": "JESSICA",
        "middle_name": "ADELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-21",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-17-27537",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "RI",
            "license": "LBA00127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "SIVAK",
            "middle_name": "ADELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jillian Lee Biello, PA-C
• Shawn Binns, M.D.
• Bio-Medical Applications of Rhode Island, Inc.
• Blackstone Valley Hearing Centers
• Blackstone Valley OB GYN Inc
• Michelle O Bland, PA-C
• Marc M. Bochner, D.P.T.
• Lauren Bolster, LICSW
• Joseph Bolte
• Christina Paula Botelho, FNP

• Behavior Analyst in Lincoln, RI
• Providers in Lincoln, RI by specialty
• Behavior Analyst in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.