Jericho School for Children With Autism, Inc.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-07-3622 Issued in FL

Legal business name

JERICHO SCHOOL FOR CHILDREN WITH AUTISM, INC.

Practice address

1351 Sprinkle Dr
Jacksonville, FL 32211-5448

Phone

(904) 744-5110

Fax

(904) 744-3443

NPI assigned

Aug 27, 2010

Organization subpart

No

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

Authorized official

Name

Mr. J. Clinton Murphy Jr., B.C.B.A.

Title

Lead Behavior Analyst

Phone

(904) 504-7693

Specialties & licenses 1

Addresses

Tax ID family

Jericho School for Children With Autism Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Jericho School for Children With Autism, Inc.

  • Developmental Disabilities Clinic/Center
  • Jacksonville, FL
  • NPI 1497072482
  NPD tax ID

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282867200000",
    "number": "1104132257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11057",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322391057",
            "telephone_number": "904-744-5110",
            "fax_number": "904-744-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 SPRINKLE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322115448",
            "telephone_number": "904-744-5110",
            "fax_number": "904-744-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERICHO SCHOOL FOR CHILDREN WITH AUTISM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-27",
        "last_updated": "2010-08-27",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "J.",
        "authorized_official_middle_name": "CLINTON",
        "authorized_official_title_or_position": "LEAD BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "904-504-7693",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "B.C.B.A."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-07-3622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Jensen, CCC-SLP
• Matthew Hal Jenson, MD
• Jenten Care LLC
• Jeremiah'S Walk Home & Health Agency, LLC
• Jeremy N Harris, M.D., P.a.
• Camika S Jerido
• Shantell Jerido
• Jerin Joseph OD, PA
• Kelsey Jernigan
• Jerome Weitzen OD PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.

Verify at the official NPI Registry.