Jessica Rosner

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-22-61614 Issued in NU

Practice address

1925 Birkdale Dr
Wellington, FL 33414-5809

Phone

(551) 574-3607

NPI assigned

Sep 9, 2021

Last updated

Nov 9, 2022By the provider in NPPES

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

• Up Up & Away ABA Therapy LLC

  • Behavior Analyst
  • Jupiter, FL
  • NPI 1902378078
  NPD (past)

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1073282307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 BIRKDALE DR",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334145809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 BIRKDALE DR",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334145809",
            "telephone_number": "551-574-3607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSNER",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-09",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": "1-22-61614",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronin Services LLC
• Kelsea Danielle Rosales
• Wendy Herrera Rosario, OTD, OTR/L
• Jill Lisa Rosen, LCSW
• Stacy R Rosenblum, D.O.
• Mark D Rothenberg, MD
• Taras Roud, DMD
• Aaron Haim Rousso
• Diana Rousso, LMHC
• Gena A Rowlands, PHD, LCSW, CAP

• Behavior Analyst in Wellington, FL
• Providers in Wellington, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.