Organization Active NPI

Jehova Jireh ABA Services LLC

  • Behavior Analyst
  • Cape Coral, FL
National Provider Identifier
1164154415
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
JEHOVA JIREH ABA SERVICES LLC
Practice address
152 SE 19TH Ter
Cape Coral, FL 33990-2247
Phone
(305) 440-7162
NPI assigned
Jun 27, 2022
Last updated
Jun 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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

Authorized official

Name
Mrs. Jennifer GomezNPI 1235605791
Title
Manager
Phone
(305) 440-7162

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 Analyst 103K00000X Primary

Addresses

Primary practice location

152 SE 19TH Ter
Cape Coral, FL 33990-2247

Mailing address

152 SE 19TH Ter
Cape Coral, FL 33990-2247
Phone (305) 440-7162

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL JENNIFER@JEHOVAJIREHABA.COM Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656288000000",
    "number": "1164154415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 SE 19TH TER",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339902247",
            "telephone_number": "305-440-7162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 SE 19TH TER",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339902247",
            "telephone_number": "305-440-7162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEHOVA JIREH ABA SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-27",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "305-440-7162",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "JENNIFER@JEHOVAJIREHABA.COM",
            "affiliation": "N",
            "endpointDescription": "JENNIFER@JEHOVAJIREHABA.COM",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "152 SE 19th Ter",
            "city": "Cape Coral",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339902247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; 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.