Jennifer Dawn Vergara

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

5628 36TH Ave N
St Petersburg, FL 33710-1914

Phone

(727) 424-1578

NPI assigned

Jun 27, 2016

Sex

Female

Sole proprietor

Yes

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

Practice roles

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.

• Behavior Analysis Next Door, LLC

  • Behavior Analyst
  • Brandon, FL
  • NPI 1013660273
  NPD Authorized official
• Rosana O'Neill, Inc.

  • Behavior Analyst
  • St Petersburg, FL
  • NPI 1003482407
  NPD

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1053762401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2527 EDGEWATER FALLS DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335112297",
            "telephone_number": "561-319-6697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5628 36TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337101914",
            "telephone_number": "727-424-1578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERGARA",
        "first_name": "JENNIFER DAWN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-27",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": "0167393",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Jose Vera Sanchez
• Andrea Veramendi
• Esther Marie Verderico, ARNP
• Savannah Vereen, DPT
• Galina Veresciak Roofener, AP
• Joseph Warren Verge, ANP
• Hazel Villanueva Verghese, MD
• Kristen Verhine, M.S., CCC-SLP
• Veridian ABA
• Verify MD Inc.

• Behavior Analyst in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.