Active NPI
Jessica Lynn Truett, BCBA
- Behavior Analyst
- Pensacola, FL
National Provider Identifier
1891058491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 11210499
- Practice address
- 1221 W Lakeview Ave
Pensacola, FL 32501-1857 - Phone
- (850) 356-8836
- NPI assigned
- Jun 19, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | 11210499 | FL | Primary |
Addresses
Primary practice location
1221 W Lakeview Ave
Pensacola, FL 32501-1857
Mailing address
1221 W Lakeview Ave
Pensacola, FL 32501-1857
Phone (850) 356-8836
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11210499 | FL | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490832000000",
"number": "1891058491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 W LAKEVIEW AVE",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325011857",
"telephone_number": "850-356-8836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 W LAKEVIEW AVE",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325011857",
"telephone_number": "850-356-8836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUETT",
"first_name": "JESSICA",
"middle_name": "LYNN",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-19",
"last_updated": "2017-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "11210499",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.