Active NPI
Jessica Marie Davis
- Behavior Technician
- Rock Springs, WY
National Provider Identifier
1679435705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-25-494372
- Practice address
- 79 Winston Dr Ste 229
Rock Springs, WY 82901-5775 - Phone
- (307) 212-3284
- NPI assigned
- Nov 26, 2025
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-25-494372 | WY | Primary |
Addresses
Primary practice location
79 Winston Dr Ste 229
Rock Springs, WY 82901-5775
Mailing address
4009 Madison Dr Apt 12B
Rock Springs, WY 82901-4412
Phone (307) 354-8469
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RBT-25-494372 | Other | WY | BACB |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-25-494372 | WY | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764115200000",
"number": "1679435705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4009 MADISON DR APT 12B",
"city": "ROCK SPRINGS",
"state": "WY",
"postal_code": "829014412",
"telephone_number": "307-354-8469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "79 WINSTON DR STE 229",
"city": "ROCK SPRINGS",
"state": "WY",
"postal_code": "829015775",
"telephone_number": "307-212-3284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "JESSICA",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-11-26",
"last_updated": "2025-11-26",
"certification_date": "2025-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "WY",
"license": "RBT-25-494372",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BACB",
"identifier": "RBT-25-494372",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rock Springs, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.