Jacey Parsons

Individual provider Active NPI Behavior Technician · Davis, WV

NPI 1891370532 · NPPES record last updated Mar 15, 2021

Key facts

NPI
1891370532
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1085 Canaan Heights Rd
Davis, WV 26260-8007
Phone
(304) 851-6643
NPI assigned
Mar 15, 2021
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Mountainside Behavior Analysis Services, LCC Past
since Mar 21, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

1085 Canaan Heights Rd
Davis, WV 26260-8007

Mailing address

1085 Canaan Heights Rd
Davis, WV 26260-8007
Phone (304) 851-6643

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 15, 2021.

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1891370532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1085 CANAAN HEIGHTS RD",
            "city": "DAVIS",
            "state": "WV",
            "postal_code": "262608007",
            "telephone_number": "304-851-6643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1085 CANAAN HEIGHTS RD",
            "city": "DAVIS",
            "state": "WV",
            "postal_code": "262608007",
            "telephone_number": "304-851-6643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARSONS",
        "first_name": "JACEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-15",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davis, WV

All providers in Davis, WV · Behavior Technician in West Virginia

Sources for this page

Verify at the official NPI Registry.