Renee Cherie Titus

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

Growing Together Center 6789 Southpoint Parkway
Building 100
Jacksonville, FL 32216

Phone

(904) 379-6045

Fax

(904) 301-4741

NPI assigned

Sep 24, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Growing Together ABA

  • Behavior Analyst
  • Jacksonville, FL
  • NPI 1992474944

  Behavior Technician

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1013524925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 SAINT JOHNS BLUFF RD S APT 901",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322242605",
            "telephone_number": "248-979-6638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GROWING TOGETHER CENTER 6789 SOUTHPOINT PARKWAY",
            "address_2": "BUILDING 100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32216",
            "telephone_number": "904-379-6045",
            "fax_number": "904-301-4741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12276 San Jose Blvd Ste 508",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322238618",
            "country_code": "US",
            "telephone_number": "904-886-3228",
            "fax_number": "904-485-8876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TITUS",
        "first_name": "RENEE",
        "middle_name": "CHERIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-24",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christy Tisdall
• Olivia Eileen Tiseo, MT-BC
• Daniel S Tismal, MD
• Lacey Titkemeier, PT, LAT, ATC
• Melissa Sue Titus, RN
• Eric James Tizzard, MD
• Bliss Carley Tkaczyk, PA-C
• TLCC Enterprises LLC
• TLM Counseling
• TNT Industry LLC

• Behavior Technician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.