Individual provider Active NPI

Jessica Anne McClung

  • Behavior Analyst
  • Lake City, FL
National Provider Identifier
1780023085
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
4255 SW Cambridge GLN # 4
Lake City, FL 32024-3431
Phone
(954) 559-7987
Fax
(772) 673-0334
NPI assigned
Jun 19, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

4255 SW Cambridge GLN # 4
Lake City, FL 32024-3431

Mailing address

4255 SW Cambridge GLN # 4
Lake City, FL 32024-3431
Phone (954) 559-7987

Other practice location 1

619 NE Lima Vias
Jensen Beach, FL 34957-6635
Phone (954) 559-7987

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

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Therapy Services, LLC Behavior Analyst Current Accepting new patients
Alpha Behavior Solutions Behavior Analyst CurrentSince Feb 24, 2022 Accepting new patients

Locations

4255 SW Cambridge Gln
#4
Lake City, FL 32024
Phone (954) 559-7987

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1780023085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4255 SW CAMBRIDGE GLN # 4",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320243431",
            "telephone_number": "954-559-7987",
            "fax_number": "772-673-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4255 SW CAMBRIDGE GLN # 4",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320243431",
            "telephone_number": "954-559-7987",
            "fax_number": "772-673-0334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "619 NE Lima Vias",
            "address_purpose": "LOCATION",
            "city": "Jensen Beach",
            "state": "FL",
            "postal_code": "349576635",
            "country_code": "US",
            "telephone_number": "954-559-7987",
            "fax_number": "772-673-0334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLUNG",
        "first_name": "JESSICA",
        "middle_name": "ANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-19",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.