Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jessica Rose

Individual provider Behavior Technician · NPI 1063140986

Jessica Rose is a Behavior Technician in Libertyville, Illinois. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

1860 W Winchester Rd
Libertyville, IL 60048-5351
Phone: (847) 573-9486
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X (WI)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1063140986
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 9, 2022
Last updated in NPPESNovember 19, 2024
Certification dateNovember 19, 2024
Mailing address970 E Oak St, Lake In The Hills, IL 60156-6169

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