Djedjess Axel Nelson Claude Essoh

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

201 King of Prussia Rd Ste 650
Radnor, PA 19087-5156

Phone

(215) 853-6682

Fax

(855) 568-2494

NPI assigned

Jan 30, 2023

Last updated

Jan 30, 2023By the provider in NPPES

Sex

Male

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Behavior Frontiers, LLC

  dba Behavior Frontiers

  • Behavior Analyst
  • Gardena, CA
  • NPI 1245539394
  NPD

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1053027243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1149 W 190TH ST STE 2200",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902484344",
            "telephone_number": "310-856-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 KING OF PRUSSIA RD STE 650",
            "city": "RADNOR",
            "state": "PA",
            "postal_code": "190875156",
            "telephone_number": "215-853-6682",
            "fax_number": "855-568-2494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESSOH",
        "first_name": "DJEDJESS",
        "middle_name": "AXEL NELSON CLAUDE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elite Psychiatric Services, LLC
• Hannah Elizabeth Ellingsworth, DPT
• Emending Counseling
• Emily Engel Murray
• Mikaela Anne Smith Endy, PT, DPT
• Charles Robert Fedele Jr., D.O.
• Steven A Feinstein, MD
• Jessica Feldman
• John Gregory Fernandez, M.D.
• Jessica Fincken, MSN, CRNP

• Behavior Technician in Radnor, PA
• Providers in Radnor, PA by specialty
• Behavior Technician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.