Jennifer Clements

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

013300150 Issued in VA

Practice address

4301 Stretton Farm CT
Woodbridge, VA 22192-5564

Phone

(248) 704-4751

NPI assigned

Feb 23, 2016

Sex

Female

Sole proprietor

No

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

State licenses

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.

• Empowering Minds 4 Change, LLC

  • Behavior Analyst
  • Woodbridge, VA
  • NPI 1275102691
  NPD Authorized official

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1073972774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3766 STAMFORD CT",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481882953",
            "telephone_number": "248-704-4751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 STRETTON FARM CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221925564",
            "telephone_number": "248-704-4751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3766 Stamford Ct",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "MI",
            "postal_code": "481882953",
            "country_code": "US",
            "telephone_number": "248-704-4751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLEMENTS",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-23",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "7401000275",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "013300150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clary Healthcare Services LLC
• C. Angela Clary-Duckworth, COTA
• Kaitlyn Nichole Clary
• Adrienne Claybaugh
• Erin Marie Clemens, OTRL
• Samantha Faith Cobb, OTR/L
• Valencia J Cobb, MD
• Windsor Eaton Coggeshall, LCSW
• Hilary Henegan Cohen, LCSW
• Marion Ruth Cohen, PT

• Behavior Analyst in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.

Verify at the official NPI Registry.