Healthcare Provider Details

I. General information

NPI: 1548983794
Provider Name (Legal Business Name): CLAUDIA WITTICH JESSEE BCBA/LBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2022
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4784B EASTERN AVE
CINCINNATI OH
45226-1812
US

IV. Provider business mailing address

800 W WOODLAWN AVE
LOUISVILLE KY
40215-2472
US

V. Phone/Fax

Practice location:
  • Phone: 513-202-4298
  • Fax:
Mailing address:
  • Phone: 502-409-7181
  • Fax: 888-450-0935

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number280433
License Number StateKY
# 3
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberCOBA.01447
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: