Provider Demographics
NPI:1982932737
Name:MCKEE, JESSICA L (BCBA)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:L
Last Name:MCKEE
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:L
Other - Last Name:FERGUSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BCBA
Mailing Address - Street 1:5076 CREEKSIDE TRL
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34243-3898
Mailing Address - Country:US
Mailing Address - Phone:941-266-8317
Mailing Address - Fax:
Practice Address - Street 1:5076 CREEKSIDE TRL
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34243-3898
Practice Address - Country:US
Practice Address - Phone:762-359-0003
Practice Address - Fax:844-308-5830
Is Sole Proprietor?:No
Enumeration Date:2009-12-04
Last Update Date:2021-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst