Active NPI
Jessie Allery, BCBA
- Behavior Analyst
- Minot, ND
National Provider Identifier
1952142135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- L93
- Practice address
- 1324 20TH Ave SW Ste 2
Minot, ND 58701-6452 - Phone
- (701) 858-0009
- NPI assigned
- Jun 3, 2024
- Last updated
- Jun 3, 2024
- 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 | L93 | ND | Primary |
Addresses
Primary practice location
1324 20TH Ave SW Ste 2
Minot, ND 58701-6452
Mailing address
701 3Rd St NW
Jamestown, ND 58401-2963
Phone (701) 368-1982
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 |
|---|---|---|---|
| L93 | ND | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anne Carlsen Center | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717372800000",
"number": "1952142135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 3RD ST NW",
"city": "JAMESTOWN",
"state": "ND",
"postal_code": "584012963",
"telephone_number": "701-368-1982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1324 20TH AVE SW STE 2",
"city": "MINOT",
"state": "ND",
"postal_code": "587016452",
"telephone_number": "701-858-0009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLERY",
"first_name": "JESSIE",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-03",
"last_updated": "2024-06-03",
"certification_date": "2024-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "ND",
"license": "L93",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minot, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.