Jenna Nicole Ross

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

2073 Garden St
Titusville, FL 32796-3243

Phone

(321) 888-3020

NPI assigned

Jan 23, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Able Academics, LLC

  • Behavior Analyst
  • Cocoa, FL
  • NPI 1205376902
  NPD (past)

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1104456730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2073 GARDEN ST",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327963243",
            "telephone_number": "321-888-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2073 GARDEN ST",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327963243",
            "telephone_number": "321-888-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "JENNA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-23",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jessicam@ableacademics.com",
            "affiliation": "N",
            "address_1": "2073 Garden St",
            "city": "Titusville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327963243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Heather Ashley Rohaus, LMHC, MS
• Joseph E Rojas, M.D.
• Ron Ryan MD PA
• Robert Glenn Rosen, DPM
• Shane Rosonina, DPT, PT
• Andrew Joseph Ruffolo, RPH
• William Rylander, M.D.
• Sachdev Psychiatric Services, P.L.
• Mira Sachdev, M.D.
• Yash V Sachdev, M.D.

• Behavior Technician in Titusville, FL
• Providers in Titusville, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.