MEDICARE: JESSICA DUGAN BCABA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106E00000X	Assistant Behavior Analyst		TX

General Provider Information

NPI Number	:	1023636107
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA DUGAN BCABA

Provider Business Mailing Address
First Line	:	300 INTERNATIONAL PKWY STE 200
Second Line	:
City	:	LAKE MARY
State	:	FL
Zip	:	32746-5028
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11925 SOUTHWEST FWY STE 5
Second Line	:
City	:	STAFFORD
State	:	TX
Zip	:	77477-2300
Country	:	US
Telephone Number	:	832-460-5121
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2020
Last Update Date	:	03/05/2026

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Directions to “ JESSICA DUGAN BCABA” Practice Location

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