MEDICARE: JESSICA BELLAMY 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	0134000670	VA

General Provider Information

NPI Number	:	1487244224
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA BELLAMY BCABA

Provider Business Mailing Address
First Line	:	4815 ALLENSHAW DR
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23231-2801
Country	:	US
Telephone Number	:	540-287-0034
Fax Number	:

Provider Business Practice Location Address
First Line	:	4815 ALLENSHAW DR
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23231-2801
Country	:	US
Telephone Number	:	540-287-0034
Fax Number	:

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

Provider Enumeration Date	:	01/26/2021
Last Update Date	:	02/02/2026

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