Jessica B Dillard, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-20-42834 Issued in CA

Practice address

4695 Macarthur CT Ste 1100
Newport Beach, CA 92660-1866

Phone

(949) 636-3962

NPI assigned

Feb 5, 2018

Last updated

Nov 6, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Creative Steps Therapy, LLC

  • Behavior Analyst
  • Aurora, CO
  • NPI 1609769249
  Authorized official Same address or phone

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

{
    "created_epoch": "1517788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1902305915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 FAIRWAY DR STE 102",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334411817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4695 MACARTHUR CT STE 1100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601866",
            "telephone_number": "949-636-3962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33852 Copper Lantern St",
            "address_purpose": "LOCATION",
            "city": "Dana Point",
            "state": "CA",
            "postal_code": "926292470",
            "country_code": "US",
            "telephone_number": "949-636-3962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DILLARD",
        "first_name": "JESSICA",
        "middle_name": "B",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-05",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "CA",
            "license": "0-17-8400",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-20-42834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "0-17-8400",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joanne McGuffin Digiorgio, D.C.
• Digrado Newport Center Family Chiropractic (Newport Center Family Chiropractic)
• Mike James Digrado, D.C.
• Digrado, Newport Center Family Chiropractic
• Ryan Dill
• Roopa Dillikar, M.D.
• Robert O Dillman, MD FACP
• Ty Dillon
• Lynn Dimino, M.D.
• Dina Bierman, MD, Inc

• Behavior Analyst in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; 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.