Organization Active NPI

Jeanette Underwood, LLC

  • Behavior Analyst
  • Clermont, FL
National Provider Identifier
1093553950
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
JEANETTE UNDERWOOD, LLC
Practice address
12304 Fountain Coin Way
Clermont, FL 34711-8085
Phone
(352) 933-0884
NPI assigned
Jul 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Authorized official

Name
Jeanette Mary Underwood, BCBANPI 1366944571
Title
Owner
Phone
(352) 933-0884

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 AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

12304 Fountain Coin Way
Clermont, FL 34711-8085

Mailing address

12304 Fountain Coin Way
Clermont, FL 34711-8085
Phone (352) 933-0884

Other practice location 1

441 S Main Ave
Groveland, FL 34736-2583
Phone (352) 933-0884

Other names 1

  • To Infinity and Beyond ABA Doing business as

National Provider Directory

National Provider Directory

Locations

441 S Main Ave
Groveland, FL 34736
Phone (352) 933-0884

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1721088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759363200000",
    "number": "1093553950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12304 FOUNTAIN COIN WAY",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347118085",
            "telephone_number": "352-933-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12304 FOUNTAIN COIN WAY",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347118085",
            "telephone_number": "352-933-0884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "441 S Main Ave",
            "address_purpose": "LOCATION",
            "city": "Groveland",
            "state": "FL",
            "postal_code": "347362583",
            "country_code": "US",
            "telephone_number": "352-933-0884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JEANETTE UNDERWOOD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-16",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A",
        "authorized_official_last_name": "UNDERWOOD",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-933-0884",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "To Infinity and Beyond ABA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; 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.