NPIMap

Organization Active NPI

Jumpstart Interventions LLC

  • Behavior Analyst
  • Fort Lauderdale, FL
National Provider Identifier
1063952703
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
JUMPSTART INTERVENTIONS LLC
Practice address
444 NW 1St Ave
Suite 403
Fort Lauderdale, FL 33301-8203
Phone
(305) 467-1955
NPI assigned
Feb 28, 2017
Last updated
Feb 28, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Authorized official

Name
Rachel Herrick, BCBANPI 1588077978
Title
President
Phone
(305) 467-1955

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

444 NW 1St Ave
Suite 403
Fort Lauderdale, FL 33301-8203

Mailing address

444 NW 1St Ave
Suite 403
Fort Lauderdale, FL 33301-8203
Phone (305) 467-1955

National Provider Directory

National Provider Directory

Locations

1776 N Pine Island Rd
Ste 108
Plantation, FL 33322
Phone (754) 703-8199

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1063952703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 NW 1ST AVE",
            "address_2": "SUITE 403",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333018203",
            "telephone_number": "305-467-1955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 NW 1ST AVE",
            "address_2": "SUITE 403",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333018203",
            "telephone_number": "305-467-1955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUMPSTART INTERVENTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-28",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "HERRICK",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-467-1955",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.