Jessica Mackenzie Butler

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-22-201978 Issued in TX

Practice address

2701 Sunset Ridge Dr Ste 303
Rockwall, TX 75032-0047

Phone

(469) 458-9021

NPI assigned

Feb 23, 2022

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": "1645574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1750037354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 TIMBERHAVEN TRL # 303",
            "city": "ROYSE CITY",
            "state": "TX",
            "postal_code": "751898684",
            "telephone_number": "469-634-7684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 SUNSET RIDGE DR STE 303",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750320047",
            "telephone_number": "469-458-9021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "JESSICA",
        "middle_name": "MACKENZIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-23",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "RBT-22-201978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Ann Burris, R.D.
• Arlyn Buruca
• Donna M Busarow, PH.D., LPC-I
• Rachel Bush
• Lauren Butcher, LCSW-S
• Caraleigh Nicole Buxie, MD
• Kathy Byford, L.P.C.
• Amanda Leigh Byrd, NP
• Andrea Byrd
• Bruce A Byrne, MD

• Behavior Technician in Rockwall, TX
• Providers in Rockwall, TX by specialty
• Behavior Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.