Jessie Renaud

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-23-63768 Issued in FL

Practice address

4940 Northdale Blvd
Tampa, FL 33624-1075

Phone

(813) 485-8444

NPI assigned

Sep 2, 2020

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

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 and National Provider Directory roles.

• Shaping Expectations Therapy

  • Behavior Analyst
  • Tampa, FL
  • NPI 1407363641
  NPD

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1083228407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9425 RICHWOOD LN",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346684430",
            "telephone_number": "239-451-9473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 NORTHDALE BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336241075",
            "telephone_number": "813-485-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENAUD",
        "first_name": "JESSIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-02",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-23-63768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Swetha Renati, M.D.
• Renato Concepcion MD PA
• Renato J. Aves, LLC
• Renato J. Aves, LLC
• Renato J. Aves, LLC
• Christina Renault, PHARM. D.
• Ricardo Emmanuel Rendel, MD
• Diana Noemi Rendon, OTD, OTR/L
• Andrew Alton Rene, PHARMD
• Lindsey Reneau

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.