Active NPIIndividual provider

Jessica Waldman, BCBA

Behavior Analyst in Winston Salem, North Carolina

NPI Number1336581677
Practice location
615 Saint George Square CT Ste 300, Winston Salem, NC 27103-1368
Fax
—
Last updated
June 15, 2026

Jessica Waldman is a Behavior Analyst based in Winston Salem, NC. Jessica Waldman practices in Winston Salem, NC and has the professional credentials of BCBA. The NPI Number for Jessica Waldman is 1336581677 and holds a License No. 1-21-49327. The current practice location address for Jessica Waldman is 615 Saint George Square CT Ste 300, Winston Salem, NC 27103-1368 and can be reached out via phone at 336-360-3798.

Provider Profile Details

NPI Number
1336581677
Provider Name
Jessica Waldman
Credential
BCBA
Provider Entity Type
Individual
Gender
Female
Address
615 Saint George Square CT Ste 300, Winston Salem, NC 27103-1368
Phone Number
336-360-3798
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
No
Provider Enumeration Date
July 29, 2013
Last Update Date
June 15, 2026
Certification Date
June 15, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
615 Saint George Square CT Ste 300
Winston Salem, NC 27103-1368
Zip
27103-1368
Phone Number
336-360-3798
Winston Salem, NC 27103Get directions →

Provider Business Mailing Address Details

Address
306 Summit St
Asheville, NC 28803-2725
City
Asheville
State
NC
Zip
28803-2725
Phone Number
828-236-1547

License Information

License Number (1)
1-21-49327
Taxonomy (1)
Behavior Analyst · 103K00000X
License Number (2)
LABA10001343
License State (2)
MA
Taxonomy (2)
Behavior Analyst · 103K00000X
License Number (3)
1683
License State (3)
NC
Taxonomy (3)
Behavior Analyst · 103K00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jessica Waldman, BCBA?

The NPI number of Jessica Waldman, BCBA is 1336581677. It was assigned on July 29, 2013 and is currently active in the NPPES registry.

What is the specialty of Jessica Waldman, BCBA?

Jessica Waldman, BCBA is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed under license number 1-21-49327.

Where does Jessica Waldman, BCBA practice?

The practice location is 615 Saint George Square CT Ste 300, Winston Salem, NC 27103-1368. The office can be reached at 336-360-3798 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1336581677 directly on the NPPES registry website.

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