Active NPI
Janna Lyn Poling, RBT
- Behavior Technician
- Enterprise, AL
National Provider Identifier
1013557313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 237 Wakefield Way
Enterprise, AL 36330-5082 - Phone
- (304) 914-5069
- NPI assigned
- Jan 14, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
237 Wakefield Way
Enterprise, AL 36330-5082
Mailing address
237 Wakefield Way
Enterprise, AL 36330-5082
Phone (304) 914-5069
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | beaconofhopeaba.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578960000000",
"number": "1013557313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "237 WAKEFIELD WAY",
"city": "ENTERPRISE",
"state": "AL",
"postal_code": "363305082",
"telephone_number": "304-914-5069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "237 WAKEFIELD WAY",
"city": "ENTERPRISE",
"state": "AL",
"postal_code": "363305082",
"telephone_number": "304-914-5069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLING",
"first_name": "JANNA",
"middle_name": "LYN",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-14",
"last_updated": "2020-01-14",
"certification_date": "2020-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "beaconofhopeaba.com",
"affiliation": "N",
"address_1": "237 Wakefield Way",
"city": "Enterprise",
"state": "AL",
"country_code": "US",
"postal_code": "363305082",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Enterprise, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.