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Deactivated NPI 1215658836 Deactivated / Inactive NPI Female Practitioner

Jessica Yudin

Behavior Technician • Mentor, OH

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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 Yudin has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 12, 2022
NPI Deactivation Date May 07, 2025
Total Practice Duration ~3 Years of Practice (2022 – 2025)

Professional Overview & Biography Verified Profile Summary

Jessica Yudin was a registered Behavior Technician practicing in Mentor, OH. Throughout an active medical career spanning 3 years, Jessica Yudin provided care at the practice location at 8532 MENTOR AVE until profile deactivation on 2025-05-07.

Practice Location & Contact Primary Location

Practice Address

8532 Mentor Ave

Mentor, OH 440605822

Telephone 4402051008
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Mentor, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 4.7 Yrs
Regional Practice Density
8 Specialists

Practicing in Mentor, OH (7577 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: 2025-07-10
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.

Case Management

NUCC Taxonomy Code: 251B00000X

An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.

Practice Associates & Co-Workers

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

19 Associated Practitioners
Donna Thompson , MA

Case Manager/Care Coordinator

NPI 1003319575

Master of Arts

Pamela Rendek , RN

Registered Nurse - Psychiatric/Mental Health

NPI 1013679208

Registered Nurse

Renee Carder

Case Manager/Care Coordinator

NPI 1114530920
Heather Sibley , LSW

Social Worker - Clinical

NPI 1184111775

Licensed Social Worker

Janet Putney

Case Manager/Care Coordinator

NPI 1215742630
Nicol Susel

Counselor - Addiction (Substance Use Disorder)

NPI 1225631476

Career & Practice History Timeline

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

11 Historical Events
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Updated Practice Location May 27, 2025

Registered at 8532 MENTOR AVE, MENTOR, OH 440605822 (Tel: 4402051008)

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Updated Business Mailing Address May 27, 2025

Registered at 35200 ASPEN WOOD LN, WILLOUGHBY, OH 440944215

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Provider Name / Credentials Updated May 27, 2025

Recorded as JESSICA YUDIN

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 27, 2025

Case Management

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NPI Profile Deactivated May 07, 2025

Record deactivated on May 07, 2025

NPI Profile Active September 12, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location September 12, 2022

Registered at 8532 MENTOR AVE, MENTOR, OH 440605822 (Tel: 4402051008)

📍
Updated Business Mailing Address September 12, 2022

Registered at 35200 ASPEN WOOD LN, WILLOUGHBY, OH 440944215

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Provider Name / Credentials Updated September 12, 2022

Recorded as JESSICA YUDIN

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2022

Case Management

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Initial NPI Registration & Enumeration September 12, 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: 1215658836
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 12, 2022
Last Update: July 10, 2025
Deactivation Date: May 07, 2025
Sole Proprietor: Yes

Mailing Address

35200 Aspen Wood Ln

Willoughby, OH 440944215

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.