Jennifer Reynaga Aceves, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-24-74188 Issued in SC

Practice address

751 E Georgia Rd
Woodruff, SC 29388-8787

Phone

(864) 476-7400

NPI assigned

Oct 10, 2023

Last updated

Jul 31, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1023899705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ELFORD CT",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293063250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 E GEORGIA RD",
            "city": "WOODRUFF",
            "state": "SC",
            "postal_code": "293888787",
            "telephone_number": "864-476-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNAGA ACEVES",
        "first_name": "JENNIFER",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-10",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "SC",
            "license": "0-23-14777",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "SC",
            "license": "1-24-74188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Project Hope Foundation (Hope Reach)
• Project Hope Foundation (Hope Reach)
• Project Hope Foundation (Hopereach)
• Regenesis Organization Community Health Center (Regenesis Health Care Pharmacy #5)
• Regenesis Organization Community Health Center (Woodruff Medical Center)
• Janet Nicole Rhinehart Vaughan
• Rpvrw Healthcare,LLC (Fleetwood Pharmacy Of Woodruff)
• Amy Rust, PTA
• Diane J Schlafly, L.M.T.
• Gajanan Ramnath Shanbhag, MD

• Behavior Analyst in Woodruff, SC
• Providers in Woodruff, SC by specialty
• Behavior Analyst in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.