Jamie K Judd-Wall, ATP, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

223 W Anderson LN
Suite A115
Austin, TX 78752-1131

Phone

(512) 807-8955

Fax

(866) 561-4982

NPI assigned

Nov 9, 2011

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

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.

• Technology Enhanced Learning and Living

  • Behavior Analyst
  • Austin, TX
  • NPI 1417383589
  NPD (past) Authorized official

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

{
    "created_epoch": "1320796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320796800000",
    "number": "1861779464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 W ANDERSON LN",
            "address_2": "SUITE A115",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787521131",
            "telephone_number": "512-807-8955",
            "fax_number": "866-561-4982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 W ANDERSON LN",
            "address_2": "SUITE A115",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787521131",
            "telephone_number": "512-807-8955",
            "fax_number": "866-561-4982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUDD-WALL",
        "first_name": "JAMIE",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "ATP, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-09",
        "last_updated": "2011-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andres Juarez
• Calli Juarez
• Deborah Juarez
• Jessica Kristen Juarez, AU.D.
• Lauren C Juarez, CPNP-PC
• Alanna Judd, FNP-C
• Amanda Judd
• Kimberly Diane Judd, MA, LPC
• Lisa Clare Judge, PHD LCSW
• Melanie Lee Judice, PA-C

• Behavior Analyst in Austin, TX
• Providers in Austin, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; 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.