Active NPI
Jean Ellen Bachrach, BCBA
- Behavior Analyst
- Boca Raton, FL
National Provider Identifier
1093017071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 500 NE Spanish River Blvd
Ste 12
Boca Raton, FL 33431-4515 - Phone
- (561) 391-1004
- NPI assigned
- Nov 24, 2010
- Last updated
- Nov 24, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
500 NE Spanish River Blvd
Ste 12
Boca Raton, FL 33431-4515
Mailing address
777 Briarwood Dr
Haverhill, FL 33415-1351
Phone (561) 683-3895
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290556800000",
"number": "1093017071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 BRIARWOOD DR",
"city": "HAVERHILL",
"state": "FL",
"postal_code": "334151351",
"telephone_number": "561-683-3895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 NE SPANISH RIVER BLVD",
"address_2": "STE 12",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334314515",
"telephone_number": "561-391-1004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACHRACH",
"first_name": "JEAN",
"middle_name": "ELLEN",
"name_prefix": "Mrs.",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-24",
"last_updated": "2010-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.