Jessica Hughes
Individual provider Active NPI Behavior Technician · Roy, WA
NPI 1891576815 · NPPES record last updated Oct 6, 2023
Key facts
- NPI
- 1891576815
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- CB61483040 (WA)
- Practice address
- 9601 339TH St S
Roy, WA 98580-9480 - Phone
- (360) 628-0993
- NPI assigned
- Oct 6, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CB61483040 | WA | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavior Connections LLC | Behavior Technician | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician |
106S00000X | CB61483040 | WA | Yes |
Addresses
Primary practice location
9601 339TH St S
Roy, WA 98580-9480
Mailing address
9601 339TH St S
Roy, WA 98580-9480
Phone (360) 628-0993
Other names
- Jessica Bass
Other providers in Roy, WA
- Pauline Flournoy
- Sasha Vanessa Gagner
- Helaina Greb
- Kayla Marie Hay
- Dana Corinne Hill
- Edmund F Jacobs Jr.
- Susan King
- Shawn Stacy Kramer
- Barbara L. Malm
- Eddah Njoki Mbugua
All providers in Roy, WA · Behavior Technician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.