Healthcare Provider Details

I. General information

NPI: 1396303129
Provider Name (Legal Business Name): JESSICA LLOYD BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2019
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1209 MOUNTAIN ROAD PL NE STE N
ALBUQUERQUE NM
87110-7825
US

IV. Provider business mailing address

1706 HARRISON CT
ARTESIA NM
88210-2581
US

V. Phone/Fax

Practice location:
  • Phone: 718-344-8623
  • Fax:
Mailing address:
  • Phone: 978-413-5115
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: