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Deactivated NPI 1124779145 Deactivated / Inactive NPI Female Practitioner

Jessica Rose Bancewicz

Behavior Technician • Worcester, MA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jessica Bancewicz has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 11, 2022
NPI Deactivation Date February 21, 2025
Total Practice Duration ~3 Years of Practice (2022 – 2025)

Professional Overview & Biography Verified Profile Summary

Jessica Bancewicz was a registered Behavior Technician practicing in Worcester, MA. Throughout an active medical career spanning 3 years, Jessica Bancewicz provided care at the practice location at 135 GOLD STAR BLVD until profile deactivation on 2025-02-21.

Practice Location & Contact Primary Location

Practice Address

135 Gold Star Blvd

Worcester, MA 016062738

Telephone 8554968462
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Worcester, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 3.9 Yrs
Regional Practice Density
1493 Specialists

Practicing in Worcester, MA (11487 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-03-05
Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

19 Associated Practitioners
Tashiani Forman

Social Worker - School

NPI 1023800265
Pawel Zawistowski , INTERN

Counselor - Mental Health

NPI 1154069268
Mariah Vega , LMHC

Counselor - Mental Health

NPI 1174398333

Licensed Mental Health Counselor

Amanda Cruz

Psychologist

NPI 1194445536
NPI 1295511228
Jayme Davis

Social Worker

NPI 1316609670

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
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Updated Practice Location March 05, 2025

Registered at 135 GOLD STAR BLVD, WORCESTER, MA 016062738 (Tel: 8554968462)

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NPI Profile Reactivated March 03, 2025

Record officially reactivated for active practice on March 03, 2025

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NPI Profile Deactivated February 21, 2025

Record deactivated on February 21, 2025

NPI Profile Active January 11, 2022

NPI status registered as active in NPPES database

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Updated Practice Location January 11, 2022

Registered at 225 CEDAR HILL ST STE 200, MARLBOROUGH, MA 017525900 (Tel: 6178639090)

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Updated Business Mailing Address January 11, 2022

Registered at 233 BRIGHAM HILL RD, NORTH GRAFTON, MA 015361244 (Tel: 5089634867)

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Provider Name / Credentials Updated January 11, 2022

Recorded as JESSICA BANCEWICZ

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 11, 2022

Behavior Technician

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Initial NPI Registration & Enumeration January 11, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124779145
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 11, 2022
Last Update: March 05, 2025
Deactivation Date: February 21, 2025
Sole Proprietor: No

Mailing Address

233 Brigham Hill Rd

North Grafton, MA 015361244

Phone: 5089634867

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.