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Deactivated NPI 1669750212 Deactivated / Inactive NPI Female Practitioner

Jesse Engstrom , MED, BCBA

Behavior Analyst • Austin, TX

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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, Jesse Engstrom has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 01, 2011
NPI Deactivation Date May 17, 2017
Total Practice Duration ~6 Years of Practice (2011 – 2017)

Professional Overview & Biography Verified Profile Summary

Jesse Engstrom, MED, BCBA was a registered Behavior Analyst practicing in Austin, TX. Throughout an active medical career spanning 6 years, Jesse Engstrom provided care at the practice location at 14516 MOWSBURY DR until profile deactivation on 2017-05-17.

Practice Location & Contact Primary Location

Practice Address

14516 Mowsbury Dr

Austin, TX 787174420

Telephone 5129833082

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Austin, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.0 Yrs
Regional Practice Density
533 Specialists

Practicing in Austin, TX (5867 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

Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

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.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated May 17, 2017

Record deactivated on May 17, 2017

NPI Profile Active May 31, 2012

NPI status registered as active in NPPES database

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Updated Practice Location May 31, 2012

Registered at 14516 MOWSBURY DR, AUSTIN, TX 787174420 (Tel: 5129833082)

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Updated Business Mailing Address May 31, 2012

Registered at 14516 MOWSBURY DRIVE, AUSTIN, TX 78717 (Tel: 5129833082)

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Provider Name / Credentials Updated May 31, 2012

Recorded as JESSE ENGSTROM, M.ED., BCBA

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 31, 2012

Behavior Analyst

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Initial NPI Registration & Enumeration August 01, 2011

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: 1669750212
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 01, 2011
Last Update: May 31, 2012
Deactivation Date: May 17, 2017

Mailing Address

14516 Mowsbury Drive

Austin, TX 78717

Phone: 5129833082

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.