Individual provider Active NPI

Jessica N Marken, BCBA, LBA

  • Behavior Analyst
  • Urbandale, IA
National Provider Identifier
1861957763
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-19-39690 Issued in IA
Practice address
8550 New York Ave
Urbandale, IA 50322-4200
Phone
(515) 630-0274
Fax
(515) 630-0274
NPI assigned
Feb 5, 2019
Last updated
Feb 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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 1-19-39690 IA Primary

Addresses

Primary practice location

8550 New York Ave
Urbandale, IA 50322-4200

Mailing address

8550 New York Ave
Urbandale, IA 50322-4200
Phone (515) 630-0274

Other practice location 1

2844 104th St
Urbandale, IA 50322-3813
Phone (708) 722-2384

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
New View Autism LLC Behavior Analyst CurrentSince Feb 11, 2024 Accepting new patients
Behavior Associates of Iowa LLC Behavior Analyst Past Accepting new patients

Locations

2844 104th St
Urbandale, IA 50322
Phone (515) 276-1111

8550 New York Ave
Urbandale, IA 50322
Phone (515) 630-0274

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1861957763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8550 NEW YORK AVE",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503224200",
            "telephone_number": "515-630-0274",
            "fax_number": "515-630-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8550 NEW YORK AVE",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503224200",
            "telephone_number": "515-630-0274",
            "fax_number": "515-630-0274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2844 104th St",
            "address_purpose": "LOCATION",
            "city": "Urbandale",
            "state": "IA",
            "postal_code": "503223813",
            "country_code": "US",
            "telephone_number": "708-722-2384",
            "fax_number": "708-563-2125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARKEN",
        "first_name": "JESSICA",
        "middle_name": "N",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-05",
        "last_updated": "2024-02-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IA",
            "license": "1-19-39690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbandale, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.