Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1316522071 Individual Practitioner Female Practitioner

Jessica Fusco Black , BCBA

Behavior Analyst • Chattanooga, TN

Professional Overview & Biography Verified Profile Summary

Jessica Black, BCBA is a registered healthcare professional specializing in Behavior Analyst in Chattanooga, TN. Practice services are available at 1360 MACKEY BRANCH DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1360 Mackey Branch Dr

Chattanooga, TN 374213225

Telephone 4238475749
Associated Practice Facility / Clinic
🏢 Agape Youth Behavioral Health Facility NPI 1528405925

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Chattanooga, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
83 Specialists

Practicing in Chattanooga, TN (1496 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: 2023-03-06
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License TN 1-21-48414

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
471201135 (TN)

Practice Associates & Co-Workers

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

22 Associated Practitioners
Karissa Hyrchuk , LCSW

Social Worker - Clinical

NPI 1023723855

Licensed Clinical Social Worker

Christy Tittsworth , APN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1043450620

Advanced Practice Nurse

Lindsay Wiggins

Counselor - Professional

NPI 1043844392
Zackary Allred

Counselor - Professional

NPI 1073432944
Miranda Cavitt

Behavior Technician

NPI 1104537943
John Mcclung

Social Worker

NPI 1134088362

Career & Practice History Timeline

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

7 Historical Events
👤
Provider Name / Credentials Updated March 06, 2023

Recorded as JESSICA BLACK, BCBA

NPI Profile Active March 15, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location March 15, 2021

Registered at 1360 MACKEY BRANCH DR, CHATTANOOGA, TN 374213225 (Tel: 4238475749)

📍
Updated Business Mailing Address March 15, 2021

Registered at 1360 MACKEY BRANCH DR, CHATTANOOGA, TN 374213225

👤
Provider Name / Credentials Updated March 15, 2021

Recorded as JESSICA FUSCO, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 15, 2021

Behavior Analyst (License #1-21-48414 in TN)

🟢
Initial NPI Registration & Enumeration March 15, 2021

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: 1316522071
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 15, 2021
Last Update: March 06, 2023
Sole Proprietor: No

Mailing Address

1360 Mackey Branch Dr

Chattanooga, TN 374213225

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.