Active NPI
Jessica Kidd Lennon, BCBA, LBA
- Behavior Analyst
- Irving, TX
National Provider Identifier
1881041895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-16-21569
- Practice address
- 320 Decker Drive
Irving, TX 75062-3999 - Phone
- (855) 832-6727
- Fax
- (772) 675-9100
- NPI assigned
- May 19, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-16-21569 | TX | Primary |
Addresses
Primary practice location
320 Decker Drive
Irving, TX 75062-3999
Mailing address
7108 S Kanner Hwy
Stuart, FL 34997-7462
Phone (855) 832-6727
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1618 | Other | TX | TEXAS DEPARTMENT OF LICENSING & REGULATION - LICENSED BEHAVIOR ANALYST (LBA) |
| 1-16-21569 | Other | BEHAVIOR ANALYST CERTIFICATION BOARD - BCBA CERTIFICATION |
Other names 1
- Jessica Kidd
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mustard Seed Autism Project, Inc | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
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": "1463616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762214400000",
"number": "1881041895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7108 S KANNER HWY",
"city": "STUART",
"state": "FL",
"postal_code": "349977462",
"telephone_number": "855-832-6727",
"fax_number": "772-675-9100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 DECKER DRIVE",
"city": "IRVING",
"state": "TX",
"postal_code": "750623999",
"telephone_number": "855-832-6727",
"fax_number": "772-675-9100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LENNON",
"first_name": "JESSICA",
"middle_name": "KIDD",
"credential": "BCBA, LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-19",
"last_updated": "2025-11-04",
"certification_date": "2025-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "1-16-21569",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS DEPARTMENT OF LICENSING & REGULATION - LICENSED BEHAVIOR ANALYST (LBA)",
"identifier": "1618",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD - BCBA CERTIFICATION",
"identifier": "1-16-21569",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "KIDD",
"credential": "BCBA, LBA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.