Jessica Marie Shafer

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

767 Madison Rd Ste 110
Culpeper, VA 22701-3340

Phone

(540) 738-7720

Fax

(540) 779-0728

NPI assigned

Mar 14, 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

Practice roles

Locations

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.

• The Behavior Doc LLC

  • Behavior Analyst
  • Culpeper, VA
  • NPI 1851906259
  NPD

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1831847474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 SHORT TURN CT",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226305569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 MADISON RD STE 110",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227013340",
            "telephone_number": "540-738-7720",
            "fax_number": "540-779-0728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28 Short Turn Ct",
            "address_purpose": "LOCATION",
            "city": "Front Royal",
            "state": "VA",
            "postal_code": "226305569",
            "country_code": "US",
            "telephone_number": "540-522-8238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAFER",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Demery Schriver, MS, LPC
• Elizabeth Lohr Scott
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• Becky Seay, ATC
• Sendys Care Services LLC
• Shenandoah Anesthesia & Research Services , PLLC
• Shenandoah Family Practice, LLC
• Shenandoah Family Urgent Care, LLC
• Sheridan Children'S Healthcare Services of Virginia, Inc
• Misty R Shoemaker, DO

• All providers in Culpeper, VA
• Behavior Technician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.