Individual provider · Type 1 NPI

Jessica Dianne Licht

Behavior Analyst · Atlanta, GA

NPI number 1396245262 Active

Practice location

2227 Godby Rd
Atlanta, GA 30349-5020

Call (855) 772-8847 Map

Mailing address

27777 Inkster Rd Ste 100
Farmington Hills, MI 48334-5312

Other practice locations

  • 600 N Loop 1604 E, San Antonio, TX 78232-1268 · (210) 239-0066
  • 600 N Loop 1604 E, San Antonio, TX 78232-1268 · (210) 239-0066
  • 126 Pavilion Parkway, Fayetteville, GA 30214-1268 · (770) 954-8988
  • 14235 Blanco Rd, San Antonio, TX 78216-7718 · (210) 415-9626

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000X1-22-58490 (GA)
Behavior Analyst 103K00000X4962 (TX)

Behavior Analyst: 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…

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About NPI 1396245262

Jessica Dianne Licht's National Provider Identifier is 1396245262, issued on Feb 17, 2018. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Atlanta, GA. The record was last updated on Sep 17, 2025.