Jacqueline Lewis, BCBA/COBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

COBA.00572 Issued in OH

Practice address

2213 Cherry St
Toledo, OH 43608-2603

Phone

(567) 290-6543

NPI assigned

Jan 12, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: jlewis1256453@direct.bsmhealth.org

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

{
    "created_epoch": "1484179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1760928840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 CHERRY ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436082673",
            "telephone_number": "419-251-3878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2213 CHERRY ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436082603",
            "telephone_number": "567-290-6543"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3521 Briarfield Blvd",
            "address_purpose": "LOCATION",
            "city": "Maumee",
            "state": "OH",
            "postal_code": "435379387",
            "country_code": "US",
            "telephone_number": "419-794-7259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "JACQUELINE",
        "credential": "BCBA/COBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-12",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OH",
            "license": "COBA.00572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0391471",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gena C Lewis, LPN
• Gentrie Lewis
• Gloria Kaye Lewis
• Hayden Guye Lewis, CDCA
• Ingrid Anjanette Lewis, RN
• Jakeriah Lewis
• Janszen Lewis
• Jeffrey Lewis, LSW
• Jeffrey R Lewis, M.D.
• Jnai Lewis

• Behavior Analyst in Toledo, OH
• Providers in Toledo, OH by specialty
• Behavior Analyst in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.