Active NPI
Jenna Farley, RBT
- Assistant Behavior Analyst
- Fairbanks, AK
National Provider Identifier
1043725302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- License
- 158152
- Practice address
- 3568 Geraghty Ave
Fairbanks, AK 99709-4701 - Phone
- (907) 374-7001
- Fax
- (907) 374-7008
- NPI assigned
- Dec 8, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Assistant Behavior Analyst | 106E00000X | 158152 | AK | Primary |
Addresses
Primary practice location
3568 Geraghty Ave
Fairbanks, AK 99709-4701
Mailing address
3568 Geraghty Ave
Fairbanks, AK 99709-4701
Phone (907) 374-7001
Other names 1
- Jenna Billington
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 158152 | AK | MD | Assistant Behavior Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729728000000",
"number": "1043725302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3568 GERAGHTY AVE",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997094701",
"telephone_number": "907-374-7001",
"fax_number": "907-374-7008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3568 GERAGHTY AVE",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997094701",
"telephone_number": "907-374-7001",
"fax_number": "907-374-7008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARLEY",
"first_name": "JENNA",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-08",
"last_updated": "2024-10-24",
"certification_date": "2024-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "AK",
"license": "158152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNA",
"last_name": "BILLINGTON",
"code": "1",
"type": "Former Name"
}
]
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.