Active NPI
Jacqueline Deaton, BCBA, M.ED.
- Behavior Analyst
- Lakewood Ranch, FL
National Provider Identifier
1134528771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 11121 State Road 70 E
Lakewood Ranch, FL 34202-8405 - Phone
- (812) 584-2065
- NPI assigned
- Aug 20, 2014
- 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
11121 State Road 70 E
Lakewood Ranch, FL 34202-8405
Mailing address
70 Birch Aly Ste 240
Beavercreek, OH 45440-1477
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
- Credentials
- Master of Education
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ignite Therapy Solutions, L.L.C. | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatric Occupational Therapist
- Wilmington, OH
- NPI 1386137172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684972800000",
"number": "1134528771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 BIRCH ALY STE 240",
"city": "BEAVERCREEK",
"state": "OH",
"postal_code": "454401477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11121 STATE ROAD 70 E",
"city": "LAKEWOOD RANCH",
"state": "FL",
"postal_code": "342028405",
"telephone_number": "812-584-2065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEATON",
"first_name": "JACQUELINE",
"credential": "BCBA, M.ED.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-20",
"last_updated": "2023-05-25",
"certification_date": "2023-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood Ranch, FL
- John James Davidson, D.C.
- Davis Visionaries Inc. Dba Firstlight Home Care of Manatee County
- Arianna K Davis, AU.D.
- Madeline Grace Dawson
- Andre De Souza E Melo, M.D.
- Dedicated Innovative Behavioral Support
- Dylan B Delancey, DPT
- Kaitlyn Nicole Delgado
- Zoe Elaine Richwine Delone
- Jennifer C Deluisa, DOM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.