Provider Demographics
NPI:1528303856
Name:MCCUEN, JESSICA A (BCBA)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:A
Last Name:MCCUEN
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:A
Other - Last Name:COTTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:925 PLUNKETT AVE
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46074-5888
Mailing Address - Country:US
Mailing Address - Phone:219-973-1984
Mailing Address - Fax:
Practice Address - Street 1:925 PLUNKETT AVE
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:IN
Practice Address - Zip Code:46074-5888
Practice Address - Country:US
Practice Address - Phone:317-849-5437
Practice Address - Fax:317-842-5911
Is Sole Proprietor?:No
Enumeration Date:2012-11-27
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst