Jessica Dawn Justice, MA, BCBA, LBA (KY)

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

632 Eastern Blvd
Clarksville, IN 47129-2463

Phone

(812) 725-9025

NPI assigned

Jan 2, 2020

Last updated

Jan 20, 2022By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1577923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1740829159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 EASTERN BLVD",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "471292463",
            "telephone_number": "812-725-9025",
            "fax_number": "317-520-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 EASTERN BLVD",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "471292463",
            "telephone_number": "812-725-9025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSTICE",
        "first_name": "JESSICA",
        "middle_name": "DAWN",
        "credential": "MA, BCBA, LBA (KY)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-02",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": "RBT-17-34988",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RBT CERTIFICATE",
            "identifier": "RBT-17-34988",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph a Fleck DDS PSC
• Cyrus K Joshi, M.D.
• Kendra Nichole June, LMHCA
• Clarence George Jung, DDS
• Emily Justice
• Valerie F Kaelin, LSW
• Isabella Kamman
• Natalie Joyce Keller
• Kentuckiana Detox and Rehab Center
• Kentuckiana Detox and Rehab Center (Avenues Recovery Center at Kentuckiana)

• Behavior Analyst in Clarksville, IN
• Providers in Clarksville, 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 20, 2022; 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.